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The Thyroid (and Hormone) Fixer Podcast: Thyropause, Menopause, Metabolism and How to Fix It

The Thyroid (and Hormone) Fixer Podcast: Thyropause, Menopause, Metabolism and How to Fix It

676. Painful Sex, Vaginal Shrinking and Incontinence: The Importance of Your Vagina Health with Dr. Anna Cabeca

Oct 23, 2026 · 47m

Coming soon to iPhone. Already have it? “Listen in Starcast” takes you straight there.

On this episode

About this episode

What if vaginal dryness, painful sex, a disappearing libido, and urinary changes aren't just "part of getting older"? In this episode, I'm joined by my dear friend Dr. Anna Cabeca, The Girlfriend Doctor, a triple board-certified OB/GYN and best-selling author of The Hormone Fix, to unpack the symptoms so many women quietly live with through perimenopause and menopause. Dr. Anna explains the vaginal microbiome (yes, your vagina has its own balance of good and bad bacteria), how it connects to your bladder health, and why doing nothing about these symptoms isn't the safe, neutral choice it seems. We also get into the difference between local, topical hormone support and systemic hormone…