The Menopause Symptoms Your HRT Is Never Going To Reach ft. Dr. Anna Cabeca

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. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ "Fine" isn't the same as well. Stop waiting to collapse before someone listens. Build your case: https://freechapter.lpages.co/how-to-build-a-case-for-yourself/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting 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 Learn more about your ad choices. Visit megaphone.fm/adchoices