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Pleasure In The Pause: Smart, Sexy Midlife Conversations about Menopause, Hormones & Female Pleasure
Menopause doesn't mean the end of pleasure—it's a new beginning! Pleasure in the Pause is dedicated to inspiring midlife women to feel more connected to their bodies, pleasure, and power through perimenopause, menopause, and beyond. Every week, we dive into informative and thought-provoking conversations with doctors, thought leaders, and experts in midlife wellness on pleasure and sexuality, menopause, embodiment and female empowerment.
Hosted by Gabriella Espinosa, a menopause and female pleasure coach who is committed to guiding women to connect with their bodies, take charge of their health and live their fullest potential in midlife and beyond. Together, we'll reframe the conversation around pleasure, sex and menopause so you can be the best advocate for your body in and out of the bedroom. We want you to feel PLEASURE HAS NO EXPIRATION DATE! Say YES to Pleasure at www.pleasureinthepause.com
Pleasure In The Pause: Smart, Sexy Midlife Conversations about Menopause, Hormones & Female Pleasure
12 | When Your Hormone Therapy Isn't Working: A Deep Dive into Optimization with Dr. Jila Senemar
Disclaimer: The information shared in this episode 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.
Have you been on hormone therapy for months (or even years) but still feel terrible? If you're dealing with brain fog, 3 AM wake-ups, energy crashes, and that stubborn weight around your middle despite being on HRT, this conversation is exactly what you need to hear.
I sat down with Dr. Jila Senemar, and honestly, this interview changed how I think about hormone optimization. We talked about why so many women are being undertreated, why your doctor might not be checking your levels, and what truly optimal hormone therapy looks like.
Are you ready to awaken your sensuality and feel more empowered in your body? Access the FREE Pleasure Upgrade Bundle at https://www.pleasureinthepause.com/gift.
Dr. Jila Senemar, M.D., FACOG is a board-certified obstetrician and gynecologist with over 20 years of experience who has become one of the leading voices in menopause optimization. She's the founder of JilaMD, a concierge practice in Miami specializing in personalized hormone therapy, metabolic optimization, and longevity science. Dr. Jila is also the founder of the Miami Menopause Collective, where she collaborates with women to create truly individualized treatment plans. What sets Dr. Jila apart is her commitment to helping women thrive—not just manage symptoms—in their second half of life through evidence-based, personalized care.
Highlights from our discussion include:
- The four pillars of HRT - estrogen, progesterone, testosterone, and vaginal estrogen - and why each one matters
- What to do when HRT isn't working - Dr. Jila's detective process for troubleshooting failed hormone therapy
- The controversial truth about hormone levels - why so many women are actually undertreated and what optimal ranges really look like
- How to personalize and optimize your protocol as your body evolves through different life stages
- The metabolic connection - cutting-edge insights on how hormones and metabolism work together
- The holistic approach - why lifestyle factors and emotional healing are just as important as the hormones themselves
- How to advocate for better care and ask the right questions to get the optimization you deserve
If you're seeking to reclaim your pleasure and vitality, join Gabriella atwww.pleasureinthepause.com for this enlightening journey into the heart of female pleasure and empowerment.
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Use code GABRIELLAESPINOSA at foriawellness.com for 20% off your order.
Full episodes on YouTube.