The Radically Well Podcast · Season 1, Episode 9

Kate del Castillo on Menopause, Vertigo and Latina Representation in Hollywood

An agent told Rosie Acosta that menopause is not sexy. Kate del Castillo has an answer for that. In this wide-ranging conversation, the Mexican American actress talks about hot flashes at 52, a frightening year of vertigo and tinnitus, why she still works twice as hard as a Latina in Hollywood, and the self-respect that holds it all together.

  • Host: Rosie Acosta
  • Guest: Kate del Castillo, actress, producer and co-founder of Cholawood
  • Published: December 19, 2025
  • Duration: Approximately 88 minutes
  • Series: The Radically Well Podcast
Episode Summary

Saying your age, and your hot flashes, out loud

Rosie grew up with a poster from Muchachitas, Kate del Castillo’s first telenovela, on her wall. Decades later Kate is still working, still creating and still being offered too many of the same kinds of roles. The episode opens with Kate’s answer to the idea that menopause is not sexy: she is 52, she feels great, and she will tell anyone in the room she is having a hot flash.

From there the conversation ranges widely: her health scares and the frustration of not getting answers, crossing over from Mexican television to the United States, why Latinas remain largely invisible on screen, building her own production company, choosing not to have children, and what wellness means to her now.

Key Takeaways

What this episode covers

  • Why Kate refuses to hide her age or her menopause symptoms
  • Hot flashes at 52, and not knowing exactly where you are in the transition
  • Severe vertigo, constant tinnitus and the toll of searching for answers
  • Why short appointments and normal-looking labs leave so many women without help
  • Crossing over from telenovelas to Hollywood, and what “crossover” really means
  • Latina representation, stereotypes and why she created Cholawood
  • Choosing not to have children, and standing by that choice
  • Self-respect, and removing failure, sacrifice and regret from your vocabulary
Menopause

“It’s super sexy to be 52”

Kate is direct about midlife in an industry that would rather not talk about it. In meetings, she says, women her age are written off, and she refuses to hide it. She tells people her age, says she is having hot flashes and asks for the doors to be opened if she needs to. Rosie sees that as part of a bigger conversation about women taking up space and trusting that their voices matter.

Kate’s own symptoms arrived late. She is having hot flashes at 52, which she considers late; her mother’s did not start until 53. She has not had a period in decades because of the IUD she uses, so she is not sure where she is in the transition. Her hormone tests have come back normal, and the hot flashes, she says, are the part that is truly hard.

Health

When nobody can tell you what is wrong

Kate has acted since she was nine and had never canceled a day of work until a severe bout of vertigo hit while she was filming The Cleaning Lady in Albuquerque. For about a week and a half she could not stand without falling. Since then she has lived with constant tinnitus for more than a year, alongside headaches that led to an MRI. She has seen specialists and paid for treatments insurance did not cover, and she still does not have clear answers.

Both women talk about a system that treats every patient the same. Kate describes appointments limited to about ten minutes. Rosie recalls labs that were called normal until her gynecologist looked at the same numbers and saw perimenopause, which is why she encourages second opinions. They agree on one thing: you know when something is wrong with your body, so keep advocating for yourself.

This is a personal conversation, not medical advice. If you are experiencing vertigo, persistent tinnitus or new headaches, talk with a qualified healthcare professional.

Representation

Still working twice as hard

Kate moved to the United States more than two decades ago and became a citizen, starting over when she had everything to lose in Mexico. Back then, she says, American audiences did not want to hear her accent or read subtitles. Streaming has changed that, but Latinas are still largely invisible in her industry, and too many of the roles she is offered are stereotypes she now turns down.

When work dried up after a highly publicized ordeal, she and longtime friends founded their own production company, Cholawood, reclaiming the word “chola” for the resilient women it describes. Her view is that real change requires more women, and more Latinas, in the positions that shape the story, and that a story told by a Latina does not have to be “a Latino story.”

Wellness

Respect yourself, and keep going

Kate never wanted children, held to that even when partners did, and is grateful she trusted herself. She argues that a healthy kind of selfishness comes first, because you cannot love someone else well without loving yourself. Asked what wellness means now, she talks about a period when she could not recognize herself in the mirror, and about the respect for herself that came back once she found her way out.

She has taken three words out of her vocabulary: failure, because every experience teaches you something; sacrifice, because she has made choices rather than sacrifices; and regret. Health, she says, is everything, the longest relationship you will ever have is the one with yourself, and there is a difference between wanting a partner and needing one.

Episode Chapters

Timestamps

Times refer to the YouTube video.

00:00Introduction: an icon on the show
04:02Why menopause and aging are still taboo in entertainment
06:02“Menopause isn’t sexy”: an agent’s advice
08:03Severe vertigo and the first workday Kate ever canceled
12:06Hot flashes at 52, and not knowing where you are
14:07Tinnitus, headaches and searching for answers
16:09Normal labs, second opinions and ten-minute appointments
22:13Muchachitas and growing up watching Kate
26:13Starting over in the United States
30:17Accents, subtitles and Latino invisibility in Hollywood
32:18Cholawood: creating your own opportunities
38:23Why she still has to work twice as hard
42:24Changing the narrative from the inside
44:27Saying your age out loud
46:28Meaningful roles, and the freedom to say no
48:30AI, art and the soul of a story
50:31Writing and directing an honest movie
58:34Choosing not to have children
1:04:42Humility, mentorship and learning from everyone
1:14:48What wellness means now: self-respect and no regrets
1:20:51Love, partnership and wanting versus needing
Topics Discussed

Explore the conversation

Frequently Asked Questions

Questions explored in this episode

What has Kate del Castillo said about menopause?

She talks openly about having hot flashes at 52, later than she expected and close to when her mother’s started. She tells people her age and her symptoms out loud, and rejects the idea that menopause is not sexy.

What health problems has Kate del Castillo talked about?

In this episode she describes a severe episode of vertigo that forced her to cancel work for the first time in her career, constant tinnitus for more than a year and headaches that led to an MRI, along with the frustration of spending a great deal without getting clear answers.

Why is it so hard to get answers about midlife symptoms?

Kate and Rosie point to very short appointments, a tendency to treat every patient the same, and lab results that look normal on paper. Rosie’s experience was that a specialist read the same labs differently, which is why both encourage second opinions and persistent self-advocacy.

What is Cholawood?

Cholawood is the production company Kate co-founded with longtime friends when she was not getting the roles or opportunities she wanted. The name reclaims “chola” as a word for strong, resilient women.

Why did Kate del Castillo choose not to have children?

She says she simply never wanted to, held to that choice even when partners hoped otherwise, and is grateful she did. She sees a healthy kind of selfishness as necessary before you can love someone else well.

What does wellness mean to Kate del Castillo?

Self-respect, above all: being able to look in the mirror and recognize and respect the woman there. She has removed failure, sacrifice and regret from her vocabulary, and says health is everything.

Work With Rosie Acosta

The longest relationship you will ever have is with yourself.

Rosie offers mindfulness coaching grounded in self-compassion, with practical tools for anxiety, sleep loss and the emotional side of midlife. Coaching is available in English and Spanish.

This episode is a personal conversation and is educational in nature. It does not replace care from a qualified healthcare or mental health professional.