Why does your body still feel dry, itchy, and irritated in places you never expected, even after starting hormone replacement therapy? I brought back the girlfriend doctor, Dr. Anna Cabeca, because there's an area of our midlife health we just don't talk about enough, and it's costing women their comfort, their confidence, and in some cases, far more than that. In this episode, Anna and I get into the real reasons behind vaginal dryness, recurring UTIs, and burning that no one can explain, and why so many of these symptoms don't fully resolve even with HRT. We unpack the massive difference between synthetic progestins and bioidentical progesterone, and why so many women who've had a hysterectomy have been wrongly told they don't need progesterone at all. We also go deep on the vaginal microbiome, why it works completely differently from your gut microbiome, and the surprisingly small things, like a single course of antibiotics, that can throw the whole system off balance. I go deep on the personal side of this too, from Brooks' hotel room debut as an influencer to why I still can't sleep on cycled progesterone no matter how many times Anna tells me to try it. We Go Deep On: Why vaginal dryness and itching often don't improve even with systemic HRT The real difference between bioidentical progesterone and synthetic progestins Why women without a uterus have been wrongly denied progesterone for decades Pregnenolone, the hormone precursor nobody talks about Vaginal microbiome and why it works the opposite of your gut What vaginal rejuvenation procedures actually require to work The mindset shift that keeps Anna consistent with her own health Catch the full episode on YOUTUBE HERE: https://bit.ly/MidlifeConversationsYouTube Products mentioned: Julva: https://dranna.com/nataliejill Balance Cream: https://dranna.com/nataliejillbalance Mighty Maca: http://dranna.com/nataliejillmaca Velve: http://dranna.com/natalievelve Use code NATALIEJILL to save Learn More About Dr. Anna Cabeca Instagram ➜ http://www.instagram.com/thegirlfrienddoctor Website ➜ https://drannacabeca.com/ Thank you to our show sponsors: QUANTUM UPGRADE: Try Quantum Upgrade completely free for 15 days—no credit card required. Use code NATALIEJILL at checkout on https://quantumupgrade.io/start THE PATCH METHOD: Vitamins you can wear! Visit https://www.thepatchmethod.com and use code NATALIEJILL to save Free Gifts for being a listener of Midlife Conversations! Mastering the Midlife Midsection Guide: https://theflatbellyguide.com/ Age Optimizing and Supplement Guide: https://ageoptimizer.com Connect with me on social media! Instagram: www.Instagram.com/Nataliejllfit Facebook: www.Facebook.com/Nataliejillfit For advertising inquiries: https://www.category3.ca/ Disclaimer: Information provided in the Midlife Conversations podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before making any changes to your current regimen. Information provided in this podcast and the use of any products or services related to this podcast does not create a client-patient relationship between you and the host of Midlife Conversations or you and any doctor or provider interviewed and featured on this show. Information and statements may have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease. Advertising Disclosure: Some episodes of Midlife Conversations may be sponsored by products or services discussed during the show. The host may receive compensation for such advertisements or if you purchase products through affiliate links. Opinions expressed about products or services are those of the host and/or guests and do not necessarily reflect the views of any sponsor. Sponsorship does not imply endorsement of any product or service by healthcare professionals featured on this podcast.

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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