The Healthy Me Podcast

Love Your Vulva | The Healthy Me Podcast Episode 006

Welcome to The Healthy Me episode number 006… I’m Trina Felber, Registered Nurse and CEO of Primal Life Organics.

The most important part of a woman’s body also happens to be the most underappreciated:

The vulva.

Unfortunately, sometimes we women don’t realize our feminine sexy is waning until it’s already gone.

When our hormone production of natural progesterone starts to decline, menopause gradually creeps up on us.

For most women, menopausal symptoms like loss of desire, sex drive, and sexual sensation – even symptoms of PMS – are considered normal. Something to dread but is inevitable nonetheless. Even though menopause can’t be avoided and is a part of life, there are ways to do it well and without suffering.

How we maintain intimacy in our relationships, how we detoxify and avoid toxins, and how we balance our hormones can mean the difference between looking like a glowing goddess, and a sweating, grumpy mess.

And no one knows that menopausal sweet spot better than today’s guest on The Healthy Me podcast, Dr. Anna Cabeca.

A gynecologist, obstetrician, and menopause and sexual health expert, Dr. Cabeca is passionate about helping women escape the suffering and stereotypes of menopause.

Although Dr. Cabeca now shared her expertise with others through online programs and hormone-balancing products, her mission began when doctors told her she’d “just have to live with” her symptoms of depression, hormone imbalance, weight gain, and chronic pain.

Rejecting this life sentence, Dr. Cabeca searched the world for ways to rediscover her health, happiness, and femininity. Through travels and extensive research, her life was transformed.

Today, Dr. Cabeca lectures internationally, offers cutting-edge, science-backed programs and products like Julva, and shares her wisdom with clients around the world. She offers insight into what we can do – right now – to live, and age, with grace.

Try Julva from Dr. Anna Cabeca FREE for 7 days. Get your sample here.


Trina Felber: Hey, everybody. I’m just getting kisses. We’re smooching over here, me and Dr. Anna Cabeca. We’re live, and we are going to talk about your sexual health because we’re heading … We are in February, and we’re heading to Valentine’s where love is around the air. Dr. Cabeca, thank you.

Dr. Anna Cabeca: Oh, you’re welcome. I know it’s time to plan some extra romance, just a little extra to add into your life.

Trina Felber: What are you calling this? Love Your …

Dr. Anna Cabeca: Love Your Vulva. We’re doing the Love Your Vulva campaign, the most underappreciated part of our body sometimes, and it’s the most important.

Trina Felber: Hey, ladies. Can we get a high five? Can we get a hands-up, a face, anything reaction to that because it is one of the most under-loved spaces of your body. How’s that? All right. Let me do a quick introduction because I don’t know if everybody out there knows the lovely Dr. Anna, who’ve I had the pleasure of spending some time with at different events getting to know. She’s amazing, so let me tell you about her.

Dr. Anna Cabeca is an Emory University trained gynecologist and obstetrician, and menopause and sexual health expert, and international speaker and educator. She created the top-selling products Julva, an anti-aging feminine cream for women. Look, ladies. I have a couple of thing. I have my sample right here, so you know what that looks like. I actually have mine on auto-ship, so here’s the one that just came in the mail. Then Mighty Maca Plus, which is a superfood hormone. I’m trying to get this in the camera, here it is, [inaudible 00:01:41], there’s the camera. Mighty Maca Plus is a superfood hormone-balancing health drink and online … Oh, she’s also created online programs Magic Menopause, Women’s Restorative Health, and Sexual CPR.

You can read her blog at and follow her everywhere, of course, Facebook, Twitter, Instagram. We can get your handles and everything like that later, but thank you. Welcome.

Dr. Anna Cabeca: Thank you, great to be here with you, and I always love catching up with you.

Trina Felber: I know.

Dr. Anna Cabeca: I know we have some creative conversations.

Trina Felber: We always have creative conversations. Ladies or guys, if there’s anybody out there, please post your questions. We’re broadcasting live right now, and if you have any questions about this topic, please post them, and we will … I have some questions that I want to ask, but if you have any questions, please feel free, but I want to know, first of all … I’m 50. I feel like I’m now in menopause. Thank you. I want to know what the typical unknown menopausal symptoms are, and what are the most severe?

Dr. Anna Cabeca: Yeah, no, absolutely, and think these really can creep up gradually as we get older. As our ovaries start to decline in our natural hormone production of progesterone, we start that natural progesterone decline, and what that leads to are symptoms of PMS, irritability, irregular cycles, mood swings. We can have breakthrough bleeding. We can have spotting, heavier periods, and as well as irregular, lighter periods that can come up, brain fog, loss of sex drive, vaginal dryness, loss of desire, decreased orgasm and pleasure sensation. All of this can kind of creep up as we start to age, and it’s gradual. We may not notice it, but one of the things I always tell my patients, if you hate your husband only two weeks out of the month, it’s probably our hormones, not your husband, if it’s only two weeks.

Trina Felber: Right, right.

Dr. Anna Cabeca: Physiology drives behavior, so it’s important to make that connection.

Trina Felber: It’s really frustrating because when it’s happening to you, you don’t really think about the changes that are happening and why it’s happening, and more importantly, we don’t look for solutions to kind of help ourselves and aid our body. It’s natural. It’s a natural process, but we don’t have to be so grumpy, right, going through it.

Dr. Anna Cabeca: Absolutely. It is. It’s a natural process, and there’s ways to do it well. That doesn’t mean suffering with hot flashes. That doesn’t mean suffering with brain fog, loss of memory. We start to make jokes … or incontinence, leaking when we cough or sneeze. We don’t have to suffer with it or power through these things because we can do a lot to reverse that, adding the right lifestyle, nutrition, hormones. That can make a big difference.

Trina Felber: Why is sexual health so important even if a woman is not having sex? Let’s [crosstalk 00:04:42] that.

Dr. Anna Cabeca: Yeah. We’re talking about sexual health. Why it’s so important, in general, is their intimacy, right? Every part of our body is important, but with intimacy in our relationships, when we’re getting older, and we’re struggling with vaginal dryness or the consequences after intercourse, such as irritation, burning with urination, discharge, odor, stuff like that, it’s like, okay, that’s negative feedback to intimacy. Intimacy is a huge way to build oxytocin, our biggest and most powerful anti-aging hormone. I mean that’s that twinkle in your eyes, right? The skip in your step, so we want to keep that intimacy, that part of our relationships really healthy, and so I know that that’s a big part in couples and marriages, that we really maintain that, and we nourish that, and we take away the negative reinforcements. If it’s vaginal dryness, if it’s erectile dysfunction, there’s a lot we can do for those issues.

Now, if we’re not having sex, right, there’s this playful side of ourselves that we keep up, keep healthy, and that’s part of healthy oxytocin levels, right? That doesn’t even just go to sexual self-stimulation, or climax, or orgasm, or masturbation, or any of these things that we can talk about that all have a place and a role, right? It’s about really gaining our femininity, gaining our masculinity, enhancing that and keeping our sex organs as healthy as possible because, again, as we age, as we … If there’s any muscle in our body that we’re not using, it atrophies, and there’s usually a consequence with that, so with our vulva or vaginal area, that’s huge too, but still, bringing in that oxytocin, bringing in that romance into our own love, our own self love, is very … It’s very beneficial, again, for the hormone oxytocin.

Trina Felber: It really does make you feel whole. I’m sorry. I know I have a echo.

Dr. Anna Cabeca: No, I don’t hear it.

Trina Felber: You don’t hear it? MJ was telling me there’s a double feedback when I talk. Now it’s gone. I don’t know why, because I could hear it too. All right, let me keep going. It’s gone, so tell me why or how hormones play havoc with our sexual health as we’re aging.

Dr. Anna Cabeca: Okay, yeah, so as we’re aging, hormones … Progesterone will naturally decline, so we’ll see this natural decline of progesterone. What happens there, we get these estrogen-dominant symptoms that are showing up, and so this estrogen dominance, it can be associated with that mood swings, irritability, hot flashes, again, the irregular periods. Often what happens when we go into our doctors’ offices, we’re like, okay, well, here’s a prescription for an antidepressant, right? Or here’s a prescription for birth control pills to help kind of cut out the irregular cycles and to help suppress the ovarian response so you’re just kind of in this level.

That doesn’t do anything for our hormonal physiology overall, for our neurotransmitters, so then add on the mood-stabilizing medication like an antidepressant or anti-anxiety medication, and so these hormones that are affecting our body affect our neurotransmitters, estrogen specifically with serotonin, so many women, during this time period, will be on a selective serotonin reuptake inhibitor. This is a physiologic response, or the behavior is in response to physiologic change, and that hormonal change we can stabilize over time.

What I found in my clinical practice working with thousands of women was using bioidentical progesterone can be very beneficial at this time period plus detoxification, right? No white, no wheat, no sweet, very little red meat, following the rules of the road like whole foods, detoxing, getting rid of the endocrine disruptors that are in our skin care, in our toothpaste, and all this stuff that you’re so … I’m so proud of you and what you’re doing with your company, and your organization, and your products, because you keep them so clean. I feel so confident and safe when my children are using them, let alone me. Those things, those endocrine disruptors can really lead to this hormone imbalance, this physiologic shift, and that’s so detrimental to us, especially as we become more sensitive to these hormonal shifts in the perimenopause and menopause.

Trina Felber: Really quick … Oh, my echo is back. Is there a certain age, or are you finding, because of all the hormone disruptors that are in our food, and our skincare, and all sorts of sources, are you finding women are having problems sooner, like perimenopausal problems sooner, and what is the normal age that women will start to notice these symptoms?

Dr. Anna Cabeca: Well, definitely. We say, okay, menopause, according to our text books is age 52 plus or minus five years, but what we really see is early perimenopause symptoms coming in in the 30s and mid-30s, 35, 38. We’re seeing that, very commonly, what we start to see these symptoms, these hormone changes, again, because progesterone’s declining. DHEA, which is one of the ingredients in Julva, starts to decline in our bodies in our mid-20s, so already we’re having these naturally-declining hormone levels, but with stress, with endocrine disruptors, it takes a toll on the hormonal balance a lot sooner, so we’re seeing layers.

Not only is this an effect for us, but it’s an effect for the generations that follow us because, as you know, in a study done in 2005 looking at umbilical cord blood, there were 257 toxic chemicals in umbilical cord blood. The safest place for anyone is in the … any baby is the mom’s womb, so to imagine those chemical toxins that they’re exposed to. Then in another study looking at … by the Environmental Working Group, which looked at endocrine … or how many chemicals a woman puts on her body by the time she leaves the house in the morning, 137, right?

Trina Felber: I know. Right.

Dr. Anna Cabeca: Between shampoo, cream, and that is … None of that’s good. We wonder about the increase in thyroid nodules, hypothyroidism, autoimmune thyroid such as Hashimoto’s thyroiditis. We have to consider the layering effects of all these toxins. No, our government, our organizations aren’t bringing this out to the public attention. I have no real understanding why that is, but if we look at the CDC science and the research going on for so many of these ingredients, we know that they are toxic carcinogens, et cetera, so the layering effect is what’s damaging. I prefer to choose my toxins, right?

Trina Felber: Right. It’s so much safer to be the one deciding what you’re putting on, which is the scary thing in cosmetics, as you know, creating what you’ve created, is that when you’re putting something that says it’s natural, or healthy, or organic, and you look at the labels, and you realize it’s really not. It’s causing more harm than the actual ingredient that you bought it for is causing good.

Dr. Anna Cabeca: Yeah. You have to be really regimented about what you’re doing and what you’re putting on. Just because it says natural doesn’t mean it’s good for you, right?

Trina Felber: Right, so let’s talk about what women can do when they experience vaginal dryness, discomfort, leakage, those symptoms that we are experiencing.

Dr. Anna Cabeca: Yeah, well, definitely because it does, it creeps up on all of us, right? Again, I’m a gynecologist. I was a pelvic floor surgeon. I did bladder procedures, vaginal procedures, prolapse procedures, and so just to give one of the things that … Where I started really working in bioidentical hormones was the area of sexual health because it’s not an area that was well addressed in so much of my medical studies. Learning to use bioidentical hormones is key, but before we even get there, the key thing is remove toxins from your environment as much as possible. Do as much as you can that’s clean, healthy, organic.

Then the second thing is empower your body to use its own natural hormones the best way possible, and so by doing that … My program, my Magic Menopause Program, we incorporate a keto-alkaline lifestyle, combining the best of getting our body into a healthy ketosis with getting alkaline, using alkalinizing carbs, essentially, into … to add those micronutrients and macronutrients that really empower our balance. The way we do this is to create insulin sensitivity, to balance cortisol, the stress hormone. All these things take a toll on our body. I’m getting tangential, Trina. I’m like, oh, I want to throw this all at you at one time.

Trina Felber: Whoosh.

Dr. Anna Cabeca: But it’s like healthy nutrition, healthy lifestyle, getting outside, getting a good night’s sleep, all those are really important to balancing your hormone. Then, beyond that, we can use … What else can we use? What’s in my doctor’s toolbox? Well, from a natural source, it’s the Mighty Maca, detoxify, alkalinizing, over 30 superfoods combined to really work with your body’s pathways from a very holistic approach.

Trina Felber: This is my favorite green drink that I drink every morning, let me see, almost every morning, probably five mornings a week. I mix about two scoops with some coconut milk or coconut water and then a banana because I just love the banana in there, and then sometimes I … If I have kale or spinach, extra greens, because I love the green, I just toss them in there, and it’s so good. Sometimes I’ll have frozen black cherries. Talk a little bit about why this is so great for women.

Dr. Anna Cabeca: Yeah, yeah, absolutely. Again, it’s great for all. My youngest client is two years old, let alone some that have had it earlier, but so it is great because we have so many athletes on it, and especially for detoxing after a hard workout, but especially for women because we know that using Mighty Maca, that supports your body’s natural DHEA, supports your body’s natural progesterone levels.

We’ve had clients doing case studies looking at their hormone levels, so we know it balances, but what does that mean? That means that no hot flashes or decrease hot flashes significantly. That means weight loss. That means decreased cravings. That means a better attitude, more steady … because we want to balance insulin and cortisol, again, so it’s working from this holistic approach through natural ingredients, through the world’s superfoods, and so that’s really why it’s so powerful for women. Again, detoxifying, alkalinizing, those are two key things we cannot do enough.

Trina Felber: I totally agree. I totally agree. I talked with Dr. Pompa last week, who is a chiropractor who is all about cellular health. It’s so great to talk to you because what you’re saying totally is inline with exactly what he teaches about cellular health, how now, from the womb, we are … children … He talks a lot about heavy metals and how most of us carry our heavy metal toxicity or load from our mothers, and it’s passed through the cord blood onto the baby, so a lot of babies are born heavy metal toxic and how to purify that is cellular health and healing, alkalizing, and things like that. It’s really just powerful when more than one professional in different areas of life are talking about the same thing. Talk about DHE, which is in Julva, and how it helps women who are experiencing these menopausal-type symptoms.

Dr. Anna Cabeca: Yeah, absolutely. DHEA is one of our precursor hormones to testosterone, to androgen. It’s one of our anti-aging hormones that, again, starts to decline in our 20s. It’s DHEA. It’s not DHA, to get confused with an omega fish oil, so important also as a supplement, as a nutritional foods that are high in good omega-3s, but DHEA. Our adrenal glands that sit above our kidneys produce DHEA, so do our ovaries, and our testes in men. You can imagine too as we age and our ovaries stop ovulating, we’re going to produce too much less of it, but definitely, this is one of those hormones that has been studied for decades, decades and is generally recognized as safe hormone even for clients who have had cancer, even if clients have had breast cancer. We’re seeing studies looking at this.

What we want to do is, again, the safest route possible, so topical, but DHEA has been shown to improve muscle, memory, and bones, and that is really key, so we think of our … and breast, to help with breast tissue. That’s our 60-day supply of Julva because I know, for people, we don’t want to get just once a month, so once every two months. Even for people who have been on it longer only need it three, five times a week, typically, as you just kind of maintain. It’s just like a healthy anti-aging cream. What did we start out with, Love Your Vulva, right? Because this is an important area. Really, we go from our entire perineal area because, as we age, we lost the elasticity. What happens? Leaks when we cough or sneeze, discomfort, irritation, more susceptibility to discharge, and infection, and odors, and all those things come into play, so an ounce of prevention’s worth a pound of care.

Then there’s the playful side too, right, to everything that can help us improve lubrication, improve sensation, improve pleasure. All of that’s really good. What makes Julva different is because the combination of the ingredients in this, it’s a patent-pending formula, and it is the way we combine them too. We use the plant stem cells from the Alpine rose, and emu oil, coconut oil, shea butter and all of the-

Trina Felber: There it is again, guys. There you go, yeah.

Dr. Anna Cabeca: Yes, all of these are anti-aging, and we’re offering your audience a free trial, a free seven nights to use the cream, to smell it, to feel it. Yeah.

Trina Felber: Yeah, so this is the sample that they would get.

Dr. Anna Cabeca: Yeah.

Trina Felber: You guys, I don’t know if you heard that. She’s offering a free sample. I’ll put the link up, and all you have to is go to that link, and then you’ll get the sample. Let me get … It’s so hard to do this backwards in a camera. This is the sample that you’ll get. I’ve been using this, gosh, I think it’s been … When did we first talk?

Dr. Anna Cabeca: I think it’s close to a year. You were right on board with it right away.

Trina Felber: Yeah. Oh, right away because I love this because I was starting to experience this stuff, and as soon as I started using it, probably took three weeks, and I totally … I didn’t even notice it was getting better until one say I was like … I sneezed, and everything was good. As subtle as it comes on, it goes away, and then you’re like … One day, you’re like, “Wow, things are good. I feel human again. I feel normal again.” It really builds confidence. You don’t realize that it took away some confidence, but it really does build your confidence as a woman and makes you feel whole, or good, or better, or I don’t know, whatever you want to call that, wonderful, but it really does. I totally was on board with this right away, and then once I started using, of course, I was all in.

Dr. Anna Cabeca: Yeah, thank you.

Trina Felber: That and the Mighty Maca, that also is my staple. Yeah, I will put the link up. I don’t see any questions. Oh, MJ was on, and she’s got to go. Bye, MJ. I don’t see anybody has posted any questions. Is there anything else you want to talk about or say that we didn’t mention before we go?

Dr. Anna Cabeca: Yeah, no, I think that’s it. I think it’s no matter what age you are … I mean as we get older, sometimes you can think that, oh, this has just been going on so long. Give it a shot. With pelvic floor exercises, you can imagine the difference. I love what you say, and I want to emphasize it. We don’t even know we’re losing confidence. We don’t even know we’re losing our feminine sexy until we look and, all of a sudden like, oh, my gosh, who is this?

Trina Felber: Get it back. This is the year to get it back.

Dr. Anna Cabeca: It is. It is the year to get it back and gain that confidence, gain that feminine because it’s for the rest of our life. Yeah.

Trina Felber: Yeah, and you’re in control of it, and it’s natural.

Dr. Anna Cabeca: Yes.

Trina Felber: Like you said, it’s no harm to try it, and you’re only going to feel better and get better naturally. There’s going to be no hormone replacement, no medication, nothing like that unless, of course, things are not working, but this has been a life saver and amazing, so I really appreciate it. I stand behind it 100%, which is why I have to bring it to my audience because I know women … I’m not the only one out there. I know it. Nobody else might admit it out there. Nobody else might talk about this but us, right? Live on Facebook.

Dr. Anna Cabeca: Yeah. We’re going to start our own Love Your Vulva campaign. I mean what can we do?

Trina Felber: Well, here we go. Here’s our Love Your Vulva campaign.

Dr. Anna Cabeca: Yes.

Trina Felber: All right, Dr. Cabeca, thank you so much for joining us.

Dr. Anna Cabeca: Thank you, Trina.

Trina Felber: I’ll post the link, and I’m sure everyone can find you. We’ll post your links. If they have any questions, they can contact you.

Dr. Anna Cabeca: Yep.

Trina Felber: Happy Valentine’s Day, everybody.

Dr. Anna Cabeca: Thank you. Happy Valentine’s Day.

Trina Felber: All right, thanks everybody. Thanks for watching. Make sure you subscribe to keep learning how to create your healthy self. See you next time.

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