85 | Breaking the Silence: Reclaiming Sexual Desire and Pleasure During Menopause with Dr. Anna Cabeca

Are you experiencing low libido, loss of sexual desire, or intimacy challenges during perimenopause or menopause? In this episode of Pleasure in the Pause, host Gabriela Espinosa joins Dr. Anna Cabeca on The Girlfriend Doctor Show to share her deeply personal story of sexual awakening during midlife.

Together, they address one of the most common yet rarely discussed symptoms of perimenopause: the complete loss of sexual desire. Gabriela opens up about how her libido plummeted overnight, leaving her without the language to describe what was happening—and the transformative journey that led her to become a sexual wellness coach.

Dr. Anna Cabeca is a board-certified gynecologist, women's health expert, and hormone specialist known as "The Girlfriend Doctor." She is passionate about empowering women to reclaim their health, hormones, and vitality during midlife and beyond. Dr. Anna specializes in sexual health, intimacy, and menopause care, helping women address the "three Ds" that affect intimacy: desire, disconnect, and discomfort. She is the creator of innovative vulvar health products designed to support women's sexual wellness during hormonal transitions. Through her podcast, online communities, and clinical work, Dr. Anna provides practical, compassionate guidance for women navigating perimenopause and menopause.

Key Takeaways

• Loss of libido during perimenopause is biological, not personal failure.
• Most women don't know their own pleasure anatomy.
• Arousal in midlife requires time, presence, and communication.
• The three Ds affect intimacy (desire, disconnect, discomfort), but the three Ps restore it.
• Unpacking shame and inherited narratives is essential work.

Your body isn't broken, and menopause isn't the end of pleasure—it's an invitation to discover yourself in new ways.

Subscribe to Pleasure in the Pause for more honest conversations about female sexuality, menopause, and reclaiming your power in midlife.

CONNECT WITH DR ANNA CABECA:

Website

Instagram

Products

Books

CONNECT WITH GABRIELLA ESPINOSA:

Instagram

LinkedIn

Work with Gabriella!

Go to https://www.gabriellaespinosa.com/ to book a call.

Full episodes on YouTube.

The information shared on Pleasure in the Pause 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.