One day, you’re cruising along like usual, and the next… everything feels off. Your mood’s all over the place, sleep is a struggle, and let’s not even talk about the sudden weight changes. Sound familiar? In this episode, my daughter Amira joins me again as we unpack what’s really happening during perimenopause, menopause, and postmenopause—when it starts, what to expect, and how to handle the rollercoaster of symptoms.

We’re getting real about everything from hormone therapy to natural ways to feel better, plus the surprising links between menopause, bone health, and heart health. And if your sex drive isn’t what it used to be, you’re not alone—we’ll talk about why that happens and what you can do about it. This conversation is all about getting answers to the questions so many of us have but don’t always talk about. If you’ve ever wondered, is this normal?—this episode is for you.

Also, if you’re feeling drained, moody, or just off, I have to tell you about Mighty Maca Plus. It’s my go-to for balancing hormones naturally, and so many women swear by it for better energy, mood, and fewer hot flashes. It’s easy, it works, and it’s made a real difference in my life too. Check it out at dranna.com/drinkmaca and see for yourself!

Key Timestamps:

[00:00:00] Introduction.

[00:02:48] Perimenopause timeline and symptoms.

[00:05:42] Weight gain during perimenopause.

[00:08:24] Feelings of anxiety in perimenopause.

[00:10:00] Sleep problems in perimenopause.

[00:11:21] Sex drive changes in perimenopause.

[00:12:24] Hormone therapy during perimenopause.

[00:14:27] Brain fog and memory issues in perimenopause.

[00:16:26] How do you know you’ve entered menopause?

[00:18:10] Persistent hot flashes and solutions.

[00:21:03] Weight gain in the midsection and insulin resistance.

[00:24:05] Vaginal health and aging.

[00:29:08] Menopause and bone health.

[00:32:06] Pros and cons of HRT.

[00:33:28] How long do menopause symptoms last?

[00:35:19] Heart health post-menopause.

[00:37:17] Losing your sex drive after menopause.

[00:39:07] Natural alternatives to hormone therapy.

[00:40:30] Mental health during post menopause.

[00:44:37] Supplements for optimal health.

[00:47:54] Improving your energy levels.

[00:49:08] Brain health and wellness risks.

Memorable Quotes:

"While menopause is natural and mandatory, suffering is optional." [00:04:31] – Dr. Anna Cabeca

"Vaginal health is necessary for life and really part of optimal health, because if that isn't healthy, then we're going to have some issues." [00:25:23] – Dr. Anna Cabeca

Links Mentioned:

Mighty Maca Plus: http://dranna.com/drinkmaca

Submit your questions to us through this form: https://docs.google.com/forms/d/e/1FAIpQLSeAxR1oPFFM7hGaipAEwUCGhl8q79G8MawUxxXMaeuZX_c_WA/viewform

Connect with Dr. Anna Cabeca:

Website: https://drannacabeca.com/pages/show

Instagram: https://www.instagram.com/thegirlfrienddoctor/

YouTube: https://www.youtube.com/@thegirlfrienddoctor

TikTok: https://www.tiktok.com/@drannacabeca

Produced by Evolved Podcasting: www.evolvedpodcasting.com