What if midlife wasn’t something to fear, but something to own?

In this empowering episode recorded live at the Women’s Health Summit in LA, Karena sits down with actor and activist Constance Zimmer and filmmaker Abby Epstein to talk about aging, hormones, Hollywood, and how women are finally telling the truth about what it means to grow older. From the early days of the Vagina Monologues to the debut of their new project Midlife Monologues, Constance and Abby are lighting up taboo topics with humor, vulnerability, and a whole lot of truth-telling. This episode will leave you inspired to embrace your story; wrinkles, wisdom, hot flashes, and all.

What happens when women finally speak the unspeakable?

Reframing aging, menopause, and midlife not as an ending, but a power-filled beginning.

(00:00) The Midlife Glow-Up: Why Aging Is the New Prime

Why the TikTok trend on women thriving in their 30s, 40s, and 50s is a needed cultural shift
Ditching the age stigma and embracing confidence in midlife
How storytelling has the power to normalize the aging experience

(03:50) Hormones, Trauma & the Real Talk Around Perimenopause

Karena opens up about early menopause symptoms and trauma-related health shifts
Abby shares insights from her certification as a midlife menopause coach
Why we need to stop associating menopause with a number — and start listening to our bodies
The double-edged sword of hormone therapy and wellness marketing: empowerment vs. exploitation

(08:45) From Hollywood to Hormones: Women's Stories on Stage

Constance reflects on strong female roles and the scarcity of opportunities for women over 50
How UnREAL and Entourage helped shift her career into meaningful, unapologetic characters
Abby shares how directing The Vagina Monologues uncovered deep stories from performers and audiences alike
The emotional labor behind directing: holding space for women’s hidden truths

(12:45) The Birth of the Midlife Monologues

How a casual email turned into a groundbreaking collaboration between Constance and Abby
Collecting personal stories from peers and actors about aging, change, and identity
Why 2026 — the 30th anniversary of The Vagina Monologues — is the perfect time to launch
Their goal: create a theatrical space for stories that ripple into collective healing

(14:45) Redefining Beauty, Power & Purpose as We Age

Why aging women in Europe are revered — and how the U.S. is catching up (slowly)
Constance’s motto: “Just let us age” — and why that’s still a radical statement
The cultural cost of ignoring women's health and midlife experience
Abby and Constance call for more visibility, celebration, and truth in women’s media

Guest Resources

If this episode moved you, please consider supporting The Big Silence Foundation and exploring our resources:

Connect with The Big Silence Community