I am delighted to have my dear friend, Dr. Anna Cabeca, joining me for the fourth time today. She was with me before on episodes 94, 202, and 317.  Today, we dive into various questions from listeners about their GYN concerns, covering why suffering is optional in perimenopause and menopause and why we must refine ourselves during that life stage. We discuss the symptoms of perimenopause, explaining the best time to start using bioidentical hormones, issues with pellet therapy, especially testosterone, and various kinds of bioidentical hormones and vaginal estrogen. We also look at DHEA and testosterone therapies, symptoms to watch out for, sexual health, treatment therapy options for incontinence, and vaginal rejuvenation.  I know you will love this invaluable discussion with Dr Anna Cabeca. IN THIS EPISODE YOU WILL LEARN: How to navigate perimenopause and menopause proactively rather than reactively What are the early signs of perimenopause? Dr. Anna discusses her approach to starting bioidentical hormones The importance of detoxification and gut health Various types of hormone applications, including progesterone, pregnenolone, DHEA, testosterone, and estrogen The importance of addressing the underlying cause of hormonal imbalances What role do hormonal therapies play in maintaining vaginal health? The limitations of certain incontinence medications  Dr. Anna introduces her Sexual CPR program Dr. Anna shares her experience with vaginal rejuvenation procedures Why we must only use personal care products containing clean, non-toxic ingredients  Connect with Cynthia Thurlow   Follow on Twitter Instagram LinkedIn Check out Cynthia’s website Submit your questions to [email protected] Connect with Dr. Anna Cabeca On her website On social media: @the girlfriend doctor Previous Episode Mentioned: Ep. 94 Reclaim Your Vibrancy, Sexuality, Health and Happiness! - with Dr. Anna Cabeca Ep. 202 Dr. Anna Cabeca - Healing Your Hormones and Becoming Empowered with The Girlfriend Doctor Ep. 317 Perimenopause Wisdom: Dr. Cabeca on Ovarian Health, Menopause & More!