If you are on hormone therapy and still dealing with dryness, painful sex, or leaking when you laugh, this episode is for you.
Estrogen and progesterone do a lot of good work. They protect your bones, your heart, and your brain. But systemic hormones do not reach everything. There is a whole area of your body they mostly skip, and that is where a lot of women are still struggling in silence.
Dr. Anna Cabeca is a triple board certified OBGYN who delivered thousands of babies before she started asking why so many of her patients were not getting better. In this episode she explains why vaginal estrogen alone often is not enough either, and what she uses instead.
She also explains the vaginal microbiome. Your standard panel looks for infections. It does not check whether your protective bacteria are still there. And as we age, that protection thins out, which raises the risk of recurring infections, bladder problems, and even HPV.
We talk about topical DHEA and testosterone, why they reach the deeper tissue that estrogen cannot, and how she watched patients scheduled for incontinence surgery improve enough that they no longer needed it.
Menopause is mandatory. Suffering is not.
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Chapters
0:00 - Introduction
3:13 - From 2-3 Surgeries a Week to 2-3 a Year
11:44 - The Vaginal Microbiome Your Annual Exam Misses
17:36 - A Preventable Stage 4 Cervical Cancer Story
24:27 - Topical Hormones for Dryness and Incontinence
39:14 - Pushback and Rapid Fire Questions
Guest Links:
IG: https://www.instagram.com/thegirlfrienddoctor
YT: https://www.youtube.com/thegirlfrienddoctor
Website: https://dranna.com
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