It Has To Be Me Episode

SECRETS TO THRIVING THROUGH MENOPAUSE

Dr. Anna Cabeca , DO, OBGYN

Episode #73: September 25th, 2025

THE GOLD FROM THIS EPISODE

“The Hormone Fix is a holistic approach at optimizing body function with the foundations of better health: Clean air and water, good sleep, detox, better liver, kidney and bowel function, community, relationships, positivity, and joy. Being healthy during menopause is 99% nutrition and lifestyle, and 1% hormones.”

Dr. Anna Cabeca

OBGYN and Author of The Hormone Fix

“Oxytocin is the queen of the hormone hierarchy. We need to microdose oxytocin throughout the day by doing things with the people we love. Enjoying nature, listening to music, singing, dancing, laughing, and playing with animals all increases oxytocin throughout our bodies. Physical touch, sex, self-pleasuring, spiritual practice, prayer, meditation, gratitude, and positive thinking stimulates production.”

Dr. Anna Cabeca

OBGYN and Author of The Hormone Fix

“As our hormones are changing, there is a shift in our gut microbiome. During menopause, we have to put more effort into keeping our gut healthy with plant foods and fermented foods to get the probiotics, prebiotics, and postbiotics. Rebuilding gut health helps with insulin sensitivity and estrogen metabolism and detoxification.”

Dr. Anna Cabeca

OBGYN and Author of The Hormone Fix

“We want to optimize hormones in a restorative and supportive way. Detoxification of estrogen and progesterone is critical. You wouldn’t keep putting oil in your engine without ever changing the filter. Support better detox in the liver by improving your gut microbiome. We have to keep the organic nature of our bodies in balance.”

Dr. Anna Cabeca

OBGYN and Author of The Hormone Fix

“Incorporate high quality protein, healthy fats, and medicinal foods such as maca and cruciferous vegetables like broccoli, cauliflower, cabbage, and sprouts to support estrogen detoxification. These foods combat insulin resistance, which interferes with pregnancy and fertility, and increases ovarian aging.”

Dr. Anna Cabeca

OBGYN and Author of The Hormone Fix

“Whether you're wired or tired, maca is Peruvian Viagra. It’s rich in L-arginine, which increases nitric oxide formation to increase blood flow; and adaptogenic to support your adrenals. It also promotes natural hormonal production and detoxification, improves sexual function, decreases hot flashes, and is breast protective and anti-inflammatory.”

Dr. Anna Cabeca

OBGYN and Author of The Hormone Fix

“Checking the pH of our urine upon waking and before bed can direct us as to how to improve our physiology. It should be more alkaline—greater than 7. Cortisol is acid-forming, and oxytocin is alkaline-forming. Engaging in fun activities to increase your oxytocin is a proactive strategy for better health.”

Dr. Anna Cabeca

OBGYN and Author of The Hormone Fix

“There is no age limit on feeling your best. But, it takes more than hormones to fix your hormones. Nutrition and lifestyle factors are foundational, and hormones are the icing on the cake. As a physician, I want to optimize body function. I’ll use low levels of bioidentical hormones with holistic practices so the heart, brain, gut, adrenals, ovaries, and thyroid function well.”

Dr. Anna Cabeca

OBGYN and Author of The Hormone Fix

“Vaginal estrogen is good, but vaginal DHEA is even better. It’s great to focus on the vagina, but what about the clitoris? Julva contains alpine rose plant stem cells and DHEA to drive hormones deep into the tissue to nourish and rejuvenate the most prime real estate of the body for sexual health and pleasure. It also helps with urinary infections and incontinence. Vaginal estrogen doesn't significantly help with incontinence, but DHEA and testosterone do.”

Dr. Anna Cabeca

OBGYN and Author of The Hormone Fix

“Our health span should equal our lifespan and our sex span. There is not an age limit on pleasure when we keep our bodies healthy. There are pleasure zones in our clitoris and anus, with over 8,000 nerve endings in our clitoris for pleasure. Keep your vulva, vagina, and anal tissue healthy by adding hormones back to these areas with Julva®.”

Dr. Anna Cabeca

OBGYN and Author of The Hormone Fix

in THIS EPISODE

  • Over 40 and want more juice and joy in your life? OBGYN and hormone expert Anna Cabeca—The Girlfriend Doctor—gives us the scoop on reclaiming our health, vitality, and sexual fire during menopause and beyond.

  • Anna’s struggle with infertility, and early-onset menopause, at 39, prompted a global pilgrimage to study alternative healing practices. Combining Western and Eastern medicine optimized her hormones and she conceived naturally at 41. The experience fueled her mission to help other women take control of their bodies.

  • Anna’s approach is holistic and human—a far cry from the typical “pop a pill or slap on a patch and hope for the best.” It’s about building a vibrant life from the inside out, with nutrition, movement, connection, community, pleasure, and purpose. And, hormone therapy is the icing on the cake!

  • We go over all the critical things every woman needs to know. How to harness the power of the hormone hierarchy, which adaptogens and supplements actually reduce symptoms, and the importance of gut health, alkalinity, and detox. Anna also spills the secret to getting rid of belly fat, and why bioidentical hormones are the way to go.

  • The two biggest secrets? Oxytocin… queen of all hormones, and getting serious about your sexual health. Anna lays out the science behind how love, connection, and intimacy are the keys to hormone balance and longevity. We celebrate self-pleasuring, and the best way to alleviate pain during intercourse and eradicate urinary infections and incontinence.

  • This is a must-listen if you want to age like a goddess and suck the marrow out of life.

TESS'S TAKEAWAYS

  • Fixing your hormones takes more than hormones. Nutrition and lifestyle are foundational.

  • Bioidentical hormones are superior to synthetic products on offer.

  • Reversing early menopause is possible with strategic nutrition and lifestyle changes.

  • Cortisol (stress hormone) is the enemy of health and happiness. Regulating it is essential.

  • Microdose oxytocin daily by cultivating pleasure and joy to change your physiology.

  • Sexual health is critical. Our health span should equal our lifespan and our sex span.

  • There’s no age limit on sexual pleasure. Cultivate the sex life you want.

  • Self-pleasure is a powerful form of self-care that boosts longevity.

ABOUT DR. ANNA

Anna Cabeca, DO, OBGYN, FACOG is the author of The Hormone Fix, Keto-Green 16, and MenuPause

Multi board certified, Dr. Anna is a fellow of gynecology and obstetrics, integrative medicine, and anti-aging and regenerative medicine. She also holds certifications in functional medicine, sexual health, and bioidentical hormone replacement therapy. 

Anna lectures frequently demystifying the complexities of women’s health. A cornerstone of her work is helping women manage stress and cortisol, and leverage oxytocin—the “love hormone” to restore connection, desire, libido, joy, vitality, and sexual pleasure. 

Through her practice and research, she developed a line of natural products, including Julva® vulva cream and MightyMaca® Plus, that help women thrive through menopause.  

Known as “The Girlfriend Doctor,” Ann is blunt and speaks from the heart, using sassy humor to make health and science relatable and fun. 

She lives in Dallas with her daughters, and their extended family of horses and dogs.