Are you standing in the pharmacy aisle, staring at rows of intimate care products, feeling overwhelmed and confused about what's actually safe for your changing menopausal body? If vaginal dryness, discomfort, or declining intimacy have left you frustrated and searching for answers, this episode of Pleasure In the Pause will transform your approach to intimate wellness during menopause.

Gabriella Espinosa sits down with the renowned "girlfriend doctor," Dr. Anna Cabeca, to demystify vulvar care, vaginal health, and sexual wellness for midlife women. This comprehensive conversation covers everything from understanding your vaginal microbiome to choosing the right products for your changing body, giving you the knowledge and confidence to prioritize your intimate health during perimenopause and beyond.

Are you ready to awaken your sensuality and feel more empowered in your body? Access the FREE Pleasure Upgrade Bundle at https://www.pleasureinthepause.com/gift.

Dr. Anna Cabeca is a triple board-certified physician specializing in gynecology, obstetrics, integrative medicine, and anti-aging and regenerative medicine. As the bestselling author of "The Hormone Fix" and "Keto Green 16," Dr. Anna brings over 20 years of clinical experience helping women navigate menopause and sexual health challenges. Known as "the girlfriend doctor" for her warm, direct, and humorous approach, Dr. Anna has personally experienced menopause twice, giving her both clinical expertise and lived experience. She's the creator of Julva vulvar care cream and the upcoming Velvet lubricant, products specifically designed for midlife women's changing bodies. Dr. Anna currently practices clinically and regularly lectures to physicians on women's intimate health.

Highlights from our discussion include:

• Understanding your vaginal microbiome and how it changes during midlife.
• The difference between vulvar and vaginal care.
• Red flag intimate product ingredients to avoid.
• Why DHEA as a game-changer for midlife women.
• How to eliminate hormone-distrupting products from your routine.

Your comfort, pleasure, and confidence aren't luxuries – they're your birthright. Take one simple step this week: whether it's having an honest conversation with your healthcare provider, examining your current intimate care products for harmful ingredients, or simply tuning into what your body is asking for.

Don't let embarrassment keep you suffering in silence. As Dr. Anna reminds us, sexual health is health, and advocating for your intimate wellness is an essential part of thriving in midlife and beyond.

If you're seeking to reclaim your pleasure and vitality, join Gabriella at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.pleasureinthepause.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for this enlightening journey into the heart of female pleasure and empowerment.

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If you're one of the 600,000 women who undergo hysterectomies annually in the US—with 73% having their ovaries removed—you may feel completely unprepared for the sexual and emotional changes that follow surgical menopause. On Pleasure and the Pause, we're breaking the silence around this isolating journey. Host Gabriella Espinosa sits down with Dr. Juliana Hauser, a nationally recognized sex therapist who personally navigated surgical menopause, to explore how women can reclaim their sexuality, rediscover pleasure, and find their way back to themselves after this life-changing procedure.

Are you ready to awaken your sensuality and feel more empowered in your body? Access the FREE Pleasure Upgrade Bundle at https://www.pleasureinthepause.com/gift.

Dr. Juliana Hauser, a nationally recognized expert in relationships, sex, and holistic sexuality. Dr. Juliana is a Ph.D. in Counseling Education who has built an extraordinary career spanning academia, clinical leadership, and community advocacy. She leads a thriving private practice where she works with individuals and couples navigating complex life experiences, and in September, she's releasing her highly anticipated book, "A New Position on Sex: A Guide to Greater Sexual Confidence, Pleasure, and Authenticity."

Highlights from our discussion include:

• Understand surgical options and their impact on hormonal health and sexual function before a hysterectomy.
• Prioritize sexual health in medical conversations, asking specific questions about post-surgery effects.
• Proactively build a support team including a menopause doula, pelvic floor therapist, and mental health professional.
• Embrace self-discovery regarding sexual agency after surgical menopause, approaching changes with curiosity.
• Advocate for proper hormone management, insisting on regular tests and speaking up if something feels off.

Surgical menopause doesn't have to mean the end of your sexual story—it can be the beginning of a new chapter written entirely on your terms. Remember: your sexuality isn't a luxury, it's a necessity. Whether you're considering this surgery or supporting someone who is, know that pleasure, confidence, and sexual fulfillment are absolutely possible on the other side.

If you're seeking to reclaim your pleasure and vitality, join Gabriella at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.pleasureinthepause.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for this enlightening journey into the heart of female pleasure and empowerment.

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Are you struggling with the emotional rollercoaster of your children leaving for college? Feeling lost, heartbroken, and uncertain about your identity beyond motherhood? You're not alone. In this powerful episode of Pleasure in the Pause, host Gabriella Espinosa addresses one of midlife women's most challenging transitions - the empty nest syndrome.

Are you ready to awaken your sensuality and feel more empowered in your body? Access the FREE Pleasure Upgrade Bundle at https://www.pleasureinthepause.com/gift.

Discover how to navigate the complex emotions of watching your children gain independence while you reclaim parts of yourself you thought were lost forever. Learn why this transition doesn't have to mean emptiness, but can instead become an "open door" to rediscovering your sensual self, reigniting intimacy, and stepping into your most vibrant chapter yet. This episode is essential listening for midlife mothers ready to transform grief into growth and rediscover their pleasure and power.

Highlights from our discussion include:

• Reframe this transition as an "open door" to emphasize freedom, tenderness, and possibility rather than loss and emptiness.
• Allow yourself to experience the full spectrum of emotions without judgment during this major identity shift, as it's normal to feel both overjoyed and heartbroken simultaneously.
• This transition offers the opportunity to integrate all parts of yourself, including your sensual and sexual self, which may have been "orphaned" during motherhood.
• Recognize that when children leave, you can finally relax fully into your body and be completely present with your partner, understanding how maternal hypervigilance affects intimacy.
• Establish consistent connection, such as weekly video calls, while allowing your adult children to lead their own independence journey and giving them emotional space to grow.
• Use this newfound mental and physical space to pursue deferred dreams, whether it's starting a business, deepening friendships, exploring creativity, or rediscovering pure joy.

Your children leaving home doesn't signal the end of your most vibrant years - it marks the beginning of a new chapter where you get to integrate the wisdom you've gained as a mother with the aliveness you've been storing up. This week, ask yourself: "What would bring me pure joy if I gave myself permission to explore it?" Remember, when you're connected to your own desires and dreams, you model something beautiful for your children about what it means to be a woman who continues to grow throughout her life.

If you're seeking to reclaim your pleasure and vitality, join Gabriella at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.pleasureinthepause.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for this enlightening journey into the heart of female pleasure and empowerment.

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Disclaimer: The information shared in this episode is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.

Have you been on hormone therapy for months (or even years) but still feel terrible? If you're dealing with brain fog, 3 AM wake-ups, energy crashes, and that stubborn weight around your middle despite being on HRT, this conversation is exactly what you need to hear.

I sat down with Dr. Jila Senemar, and honestly, this interview changed how I think about hormone optimization. We talked about why so many women are being undertreated, why your doctor might not be checking your levels, and what truly optimal hormone therapy looks like.

Are you ready to awaken your sensuality and feel more empowered in your body? Access the FREE Pleasure Upgrade Bundle at https://www.pleasureinthepause.com/gift.

Dr. Jila Senemar, M.D., FACOG is a board-certified obstetrician and gynecologist with over 20 years of experience who has become one of the leading voices in menopause optimization. She's the founder of JilaMD, a concierge practice in Miami specializing in personalized hormone therapy, metabolic optimization, and longevity science. Dr. Jila is also the founder of the Miami Menopause Collective, where she collaborates with women to create truly individualized treatment plans. What sets Dr. Jila apart is her commitment to helping women thrive—not just manage symptoms—in their second half of life through evidence-based, personalized care.

Highlights from our discussion include:

• The four pillars of HRT - estrogen, progesterone, testosterone, and vaginal estrogen - and why each one matters
• What to do when HRT isn't working - Dr. Jila's detective process for troubleshooting failed hormone therapy
• The controversial truth about hormone levels - why so many women are actually undertreated and what optimal ranges really look like
• How to personalize and optimize your protocol as your body evolves through different life stages
• The metabolic connection - cutting-edge insights on how hormones and metabolism work together
• The holistic approach - why lifestyle factors and emotional healing are just as important as the hormones themselves
• How to advocate for better care and ask the right questions to get the optimization you deserve

If you're seeking to reclaim your pleasure and vitality, join Gabriella at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.pleasureinthepause.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for this enlightening journey into the heart of female pleasure and empowerment.

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Dr. Mary Claire Haver

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This week, something extraordinary happened: menopause took center stage at the highest levels of US government in an unprecedented way. The US Food and Drug Administration (FDA) convened leading experts from across the country to discuss what millions of women have been waiting to hear: their experiences matter, their suffering is real, and there may be evidence-based solutions that have been withheld. This historic hearing offers tremendous hope for women navigating menopause.

Are you ready to awaken your sensuality and feel more empowered in your body? Access the FREE Pleasure Upgrade Bundle at https://www.pleasureinthepause.com/gift.

In this episode, we discuss:

• The End of Silence: Menopause, once a shamed and dismissed topic, has finally entered serious public discourse, moving beyond quiet endurance to high-level recognition.
• A Personal Story Driving Change: The head of the FDA shared his personal story about his mother who suffered greatly due to outdated fears around hormone therapy, emphasizing that bone fractures in older women can be fatal.
• Dismantling Dogma: Experts revealed that vaginal estrogen is categorically safe for all women, with no systemic absorption, directly challenging the black box warning.
• Brain and Bone Health: Researchers presented alarming data on how estrogen decline impacts brain function and bone density, emphasizing that hormone therapy can be a critical prevention tool, not just a treatment for the elderly.

This hearing signals a critical shift: women's health matters, our experiences are valid, and we deserve care based on current science, not outdated assumptions. Whether or not you choose hormone therapy, there is now hope that you can make informed decisions based on facts.

Your voice matters in this conversation!

The FDA is opening a public comment period on this topic. Please go to the FDA YouTube channel, listen to the full hearing, and leave your public comment. This is our opportunity to ensure today's expert testimony translates into policy changes that will help millions of women.

Help us spread more pleasure in the world!

Please subscribe, rate, and review this episode, and share it with someone you love. Your voice is crucial in creating ripples of pleasure and connection throughout our communities.

Until we meet again, remember, your pleasure matters.

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The conversation around menopause is finally being normalized, allowing us to openly discuss physical changes like hot flashes, brain fog, and sleepless nights. However, when it comes to our sexuality (describing shifts in desire, changes in intimacy, or articulating our sexual needs to partners) we often find ourselves speechless.

Reclaim your sensuality and step into a powerful new chapter. The Midlife Pleasure Collective is a monthly membership designed to help midlife women reconnect with their bodies, embrace their desires, and cultivate deeper pleasure.

Ever been awake at 3 AM, grappling with how to articulate bodily changes you don't fully grasp? Or frozen in a doctor's office when asked about your sexual health? We're never taught to discuss this fundamental aspect of our lives, costing us pleasure, well-being, and vitality.

This episode explores why midlife women must have open, clear conversations about sex. We'll delve into how menopause reshapes sexual health, examine cultural silence, and equip you with language and strategies to initiate vital discussions with partners, girlfriends, and yourself.

If you're seeking to reclaim your pleasure and vitality, join Gabriella at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.pleasureinthepause.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for this enlightening journey into the heart of female pleasure and empowerment.

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Despite living decades in our bodies, many of us remain disconnected from our sexual anatomy, trapped by societal shame and silence. But knowing your vulva isn't just about sexual pleasure—it's about health, vitality, and reclaiming your power as a woman in midlife.

Access the FREE guided Vulva Love Meditation at https://www.pleasureinthepause.com/vulva

Today, I'm sharing an intimate workshop that will transform how you view your body. We'll explore comprehensive vulva anatomy, challenge myths about menopause and sexuality, and I'll guide you through a revolutionary approach to self-connection.

This isn't just another conversation about sex—this is about understanding the incredible, sacred landscape of your own body. From debunking medical misconceptions to providing practical self-care strategies, this episode is your roadmap to embracing your sexual wellness.

Whether you're experiencing perimenopause, menopause, or simply want to deepen your body awareness, you'll walk away with knowledge, tools, and most importantly, permission to prioritize your pleasure and well-being.

If you're seeking to reclaim your pleasure and vitality, join Gabriella at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.pleasureinthepause.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for this enlightening journey into the heart of female pleasure and empowerment.

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What if the very parts of yourself you've been hiding—the messy, the marvelous, the unspoken—are the ones that will set you free in midlife? We're often told to shrink, to quiet down, to accept invisibility, like it's a rite of passage. But what if this chapter is actually about expansion, revealing more of who we are, not less? Because let's be honest, midlife women are not a monolith. We're complex, multifaceted, full of rage and tenderness, reinvention and regret, humor and heartbreak. So many of those parts don't get revealed until we find the courage to tell our stories. That's when the magic happens. That's when we feel seen, heard, validated, and we realize we were never alone.

Reclaim your sensuality and step into a powerful new chapter. The Midlife Pleasure Collective is a monthly membership designed to help midlife women reconnect with their bodies, embrace their desires, and cultivate deeper pleasure.

Dina Aronson is a writer, editor, and pro-age advocate who is passionate about shining a light on midlife women and reframing the cultural conversation around aging. She began her career as an attorney, later founding a legal search consultancy, but pivoted as she approached midlife and couldn’t find relevant content that reflected her experience. She began freelancing for start-ups aimed at the forty and above woman, and founded the Patina blog, now a Substack newsletter called Patina with Dina Aronson, where she explores topics in and around aging through her midlife lens.

Highlights from our discussion include:

• Midlife is not about shrinking or becoming invisible, but about expanding and revealing more of your authentic self.
• Midlife women are complex and multifaceted, defying simple stereotypes or categorization.
• Courage to share our stories is transformative, allowing us to be truly seen and understood.
• Our hidden or unspoken parts—including emotions like rage, tenderness, regret, and humor—are sources of power, not weakness.
• Sharing our experiences helps us realize we are not alone in our midlife journey, creating connection and validation

In midlife, our power lies not in conforming to societal expectations, but in embracing our full, messy, magnificent selves—and having the courage to share those stories that make us beautifully, unapologetically human.

If you're seeking to reclaim your pleasure and vitality, join Gabriella at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.pleasureinthepause.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for this enlightening journey into the heart of female pleasure and empowerment.

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