Menopause doesn't mean the end of pleasure — it’s a new beginning! Pleasure in the Pause is the podcast redefining midlife for women ready to reconnect with their bodies, pleasure, and power — at every stage of the menopause journey and beyond. Hosted by Gabriella Espinosa, certified menopause coach and sexual health advocate, each episode features informative and thought-provoking conversations with doctors, thought leaders, and wellness experts on hormones, sexual health, desire, and healthy aging.
Expect actionable strategies and empowering insights to help you feel more confident, energized, and connected to your body — no matter your age. Together, we’ll reframe the conversation around pleasure, sex, and midlife so you can be the best advocate for your body — in and out of the bedroom. Because PLEASURE HAS NO EXPIRATION DATE! Say YES! to Pleasure at www.pleasureinthepause.com
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Check latest episodes from Pleasure in the Pause: Midlife Conversations About Menopause, Sex & Pleasure podcast
89 | Motherhood, Mental Health And Return To Self With Lizzie Bermudez [Return to Her Series]
2026/02/04
What happens when your child's mental health crisis becomes your entire world and you quietly lose yourself in the process? In this debut episode of Return to Her, a new monthly series on Pleasure in the Pause, host Gabriella Espinosa sits down with lifestyle host and midlife influencer Lizzie Bermudez for an honest conversation about walking through over three years of her daughter's mental health struggles while putting her own life completely on hold.
Lizzie shares what it felt like to be her daughter's primary caretaker in survival mode, how she navigated the isolation and stigma surrounding mental health, and the turning point when she finally realized the best thing she could do for her daughter was take care of herself. This is a powerful story about caregiving, crisis, and the slow, messy, beautiful journey of coming home to yourself again.
Lizzie is a lifestyle host, podcaster and midlife influencer. She helps women embrace the "middle ages" by sharing tips, tricks, and interviews about looking and feeling your best when it comes to midlife, menopause and empty nesting. Lizzie B's audience knows she doesn't take herself too seriously, and viewers love following her entertaining behind-the-scenes stories on Instagram and TikTok.
Lizzie also spent 20-plus years as an Emmy award-winning broadcast journalist and host. During that time, she interviewed everyone from celebrities to CEOs to presidents and developed the skills of storytelling and engaging viewers.
If you ask Lizzie her favorite thing about switching from traditional media to digital, she’ll proudly tell you she can say just about whatever the eff she wants and no longer needs a full face of makeup to go on camera.
Highlights from our discussion include:
When your child struggles with mental health, the isolation is overwhelming. People don't know what to say, so they say nothing.DBT (dialectical behavioral therapy) gave her family tools and a shared language to navigate emotional regulation and crisis.Learning that two things can be true at once expanded her capacity to hold conflicting emotions without judgment.Coming home to herself feels like lightness. Waking up smiling again, cortisol releasing, opening to friendships after years of isolation.Laughter was medicine. Even in the darkest days, finding one thing to laugh about each day became a survival tool.If you're in the thick of caregiving and losing yourself, if you're slowly coming back, or if you're still figuring it out—this conversation reminds you that returning to yourself is always possible. Listen now and discover that even after the most intense seasons, lightness and joy can return.
CONNECT WITH LIZZIE BERMUDEZ:
TikTok
Instagram
CONNECT WITH GABRIELLA ESPINOSA:
Instagram
LinkedIn
Work with Gabriella!
Go to https://www.gabriellaespinosa.com/ to book a call.
Full episodes on YouTube.
The information shared on Pleasure in the Pause 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.
88 | The Intimate Animal: Why We’re Wired For Love, Desire, And Connection In Midlife with Dr. Justin Garcia
2026/01/28
Have you ever looked at your long-term partner and wondered: Is this still the connection I want? Who are we now? Can we feel close again? If you've reached midlife and found yourself in a relationship that feels more like roommates than lovers, if the spark has faded and you're not sure how to reignite it, or if you're navigating the dating world again after years away, this episode is for you.
Gabriella Espinosa sits down with Dr. Justin Garcia. Dr. Garcia brings decades of research to answer the questions many midlife women are asking: Why do long-term relationships drift into disconnection? Can desire return after years together? Is it possible to rebuild intimacy when life, hormones, and identity are all shifting at once? And perhaps most importantly: Are we asking romantic partnerships to do something evolution never designed them for?
Dr. Justin R. Garcia is an evolutionary biologist and international authority on the science of sex and relationships. Since 2019, he has served as Executive Director of the world-renowned Kinsey Institute, where he is also a Senior Scientist. He holds an appointment as the Ruth N. Halls Professor in the College of Arts and Sciences at Indiana University and is a Founding Co-Director of Human Sexuality and Health at the IU School of Medicine. An award-winning researcher and educator, Dr. Garcia is the Chief Scientific Advisor to Match, where he provides expertise for the annual Singles in America study. His research focuses on people's romantic and sexual lives throughout the life course, especially on integrative biopsychosocial models of variation in courtship, intimacy, and sexual behavior. He has co-authored over 100 academic articles and book chapters and is co-author of Evolution and Human Sexual Behavior. His latest book, The Intimate Animal: Why We Live for Love, explores the science behind human connection and is available now.
Highlights from our discussion include:
Intimacy Lives in the Shadow of SexSocial Monogamy vs. Sexual MonogamySexual Habituation Is Normal (And Solvable)What Keeps Passion Alive in Long-Term RelationshipsThe Intimacy Crisis Is RealMidlife Dating Prioritizes Chemistry AND CompatibilityGray Divorce and RenegotiationCuriosity Is the Best Tonic for RelationshipsSexual Satisfaction Increases with AgeTechnology Is a Tool, Not a ReplacementWhether you're in a long-term partnership, newly dating, or choosing singlehood, you'll discover why humans are wired for belonging and how midlife can be the beginning of your real love story.
CONNECT WITH Dr. Justin Garcia:
Instagram
Kinsey Institute
CONNECT WITH GABRIELLA ESPINOSA:
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LinkedIn
Work with Gabriella!
Go to https://www.gabriellaespinosa.com/ to book a call.
Full episodes on YouTube.
The information shared on Pleasure in the Pause 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.
87 | Unapologetic Aging: How to Build a Loving Relationship with Your Midlife Body with Deb Benfield
2026/01/21
When you look in the mirror, what's the first story you tell yourself about your body? If you're like most midlife women, that internal dialogue is often rooted in criticism, comparison, and the relentless pressure to "fix" an aging body that was never broken in the first place.
In this episode of Pleasure in the Pause, host Gabriella Espinosa sits down with registered dietitian and body image coach Deb Benfield to explore how internalized ageism and diet culture keep us disconnected from our bodies—and what it takes to reclaim body trust, pleasure, and freedom in midlife and beyond.
Deb Benfield, M.Ed., RDN, LDN, RYT, is a Registered Dietitian, nutrition therapist, and body image coach with 40 years of experience helping people heal their relationship with food, movement, and their bodies. Her work sits at the intersection of anti-ageism, body liberation, and trauma-informed care—offering a radically compassionate alternative to diet and wellness culture, especially for those in midlife and beyond. After turning 60, Deb began questioning the dominant narratives around aging, vitality, and beauty, and quickly realized how many resources still centered weight loss and youthful appearance as ultimate goals. In response, she created what she couldn’t find: a framework for nourishing the body that honors inner wisdom, prioritizes vitality, and embraces the full spectrum of aging. She’s the author of Unapologetic Aging: How to Mend and Nourish Your Relationship with Your Body, and she offers individual and group coaching to help her clients age unapologetically—on their own terms.
Highlights from our discussion include:
Understanding Your Body StoryYour Body Is Your Life Partner, Not Your Life's ProjectInternalized Ageism Keeps You StuckDiet Culture Fuels Hypervigilance, Not HealthRebuilding Body Trust Through EmbodimentRedefining Intimacy and Pleasure in MidlifeGLP-1 Medications: A Complex DecisionPermission to Stop ApologizingWhat if you stopped treating your body like a problem to solve and started honoring it as the life partner it's always been?
This episode is an invitation home—to your body, your pleasure, and your power. If you're ready to step off the diet culture rollercoaster and into a more compassionate, embodied way of living, Deb Benfield's Unapologetic Aging is the companion you need.
CONNECT WITH DEB BENFIELD:
Website: https://www.debrabenfield.com/
Instagram: https://www.instagram.com/agingbodyliberation/
Substack: https://substack.com/@debbenfield1
CONNECT WITH GABRIELLA ESPINOSA:
Instagram
LinkedIn
Work with Gabriella!
Go to https://www.gabriellaespinosa.com/ to book a call.
Full episodes on YouTube.
The information shared on Pleasure in the Pause 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.
86 | Psychedelics, Menopause & Mental Health: What Midlife Women Need to Know with Ashley Turner
2026/01/14
Are you doing all the "right things" for your menopause symptoms—hormone therapy, nutrition, exercise, stress management—but still not feeling like yourself?
In this episode of Pleasure in the Pause, host Gabriela Espinosa welcomes back licensed psychotherapist Ashley Turner for a groundbreaking conversation about psychedelic-assisted therapy and microdosing as complementary support during the menopause transition.
Ashley Turner is a licensed marriage and family psychotherapist, yoga/meditation teacher, and founder of Yoga Psyche Soul, specializing in integrating Eastern spiritual practices with Western psychology (depth, shadow, and somatic psychology, women's mental health) for 25 years. After her own intense menopausal mental health struggles (depression, anxiety, confidence loss, cognitive issues), Ashley explored psychedelic-assisted therapy and psilocybin microdosing. She is completing her psychedelic-assisted therapy certification through the Integrated Psychiatry Institute in Boulder, focusing on psilocybin, ketamine, and MDMA. Ashley created the six-month Metamorphosis program for menopause and recently launched The Portal, a 12-week microdosing and menopause group therapy program with Golden Rule.
Highlights from our discussion include:
Menopause is a developmental phase, not just a medical event. Mental health symptoms during menopause can persist even with optimal lifestyle interventions.Psilocybin microdosing creates neuroplasticity and can act as a natural mood stabilizer.Psychedelic-assisted therapy is different from microdosing on your own. "No pills without skills" applies to all interventions, including psychedelics.This week, get curious: educate yourself by watching Ashley's masterclass on Microdosing and Menopause, read one of the books she mentioned (Mycelio-Pause or The Psilocybin Guidebook for Women), or simply journal about what you're experiencing emotionally and psychologically beyond the physical symptoms. Remember, you deserve all the tools available to thrive—not just survive—this transition.
CONNECT WITH ASHLEY TURNER:
Instagram
Work with Ashley!
CONNECT WITH GABRIELLA ESPINOSA:
Instagram
LinkedIn
Work with Gabriella!
Resources Mentioned:
Mycelio-Pause: Using Mushrooms in the Menopausal TransitionThe Psilocybin Guidebook for Women by Jennifer ChesakAndrew Huberman's podcast on psilocybin and neuroscienceGolden Rule (female-owned psilocybin microdosing company based in Colorado)UK study on microdosing and menopauseBrian Johnson's live-streamed psilocybin macro dose journey Go to https://www.gabriellaespinosa.com/ to book a call.
Full episodes on YouTube.
The information shared on Pleasure in the Pause 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.
85 | Breaking the Silence: Reclaiming Sexual Desire and Pleasure During Menopause with Gabriella Espinosa
2026/01/07
Are you experiencing low libido, loss of sexual desire, or intimacy challenges during perimenopause or menopause? In this episode of Pleasure in the Pause, host Gabriela Espinosa joins Dr. Anna Cabeca on The Girlfriend Doctor Show to share her deeply personal story of sexual awakening during midlife.
Together, they address one of the most common yet rarely discussed symptoms of perimenopause: the complete loss of sexual desire. Gabriela opens up about how her libido plummeted overnight, leaving her without the language to describe what was happening—and the transformative journey that led her to become a sexual wellness coach.
Dr. Anna Cabeca is a board-certified gynecologist, women's health expert, and hormone specialist known as "The Girlfriend Doctor." She is passionate about empowering women to reclaim their health, hormones, and vitality during midlife and beyond. Dr. Anna specializes in sexual health, intimacy, and menopause care, helping women address the "three Ds" that affect intimacy: desire, disconnect, and discomfort. She is the creator of innovative vulvar health products designed to support women's sexual wellness during hormonal transitions. Through her podcast, online communities, and clinical work, Dr. Anna provides practical, compassionate guidance for women navigating perimenopause and menopause.
Key Takeaways
Loss of libido during perimenopause is biological, not personal failure.Most women don't know their own pleasure anatomy.Arousal in midlife requires time, presence, and communication.The three Ds affect intimacy (desire, disconnect, discomfort), but the three Ps restore it.Unpacking shame and inherited narratives is essential work.Your body isn't broken, and menopause isn't the end of pleasure—it's an invitation to discover yourself in new ways.
Subscribe to Pleasure in the Pause for more honest conversations about female sexuality, menopause, and reclaiming your power in midlife.
CONNECT WITH DR ANNA CABECA:
Website
Instagram
Products
Books
Podcast Episode
CONNECT WITH GABRIELLA ESPINOSA:
Instagram
LinkedIn
Work with Gabriella!
Go to https://www.gabriellaespinosa.com/ to book a call.
Full episodes on YouTube.
The information shared on Pleasure in the Pause 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.
84 | Midlife Reflections: What 2025 Taught Me About Menopause, Pleasure & Aging Well
2026/01/01
Are you feeling the weight of another year passing while navigating the changes of perimenopause and menopause? Do you struggle to make sense of midlife transitions—the shifting hormones, changing body, evolving desires, and the pressure to have it all figured out? In this intimate end-of-year solo episode of Pleasure In The Pause, host Gabriela Espinosa guides you through a reflective journey to release what no longer serves you and reclaim what matters most as you step into 2026.
Whether you're grappling with metabolic changes, declining desire, or simply feeling invisible in a youth-obsessed culture, this episode offers evidence-based insights on the future of midlife health, sexual wellness, and longevity—plus powerful journaling prompts to help you transition into the new year with clarity, confidence, and self-trust.
Highlights from our discussion include:
Midlife health is entering the mainstreamSexual wellness is finally recognized as healthcarePolicy victories matter for your careNew podcast segments to support your journeyReflection is an act of self-careAs you close out 2025 and step into the new year, remember this truth: your pleasure has no expiration date. Your body, your desires, and your wisdom matter exactly as they are right now.
Take time this week to work through the journaling prompts shared in this episode—ask yourself what you're ready to carry forward and what you're ready to leave behind.
Then, submit your questions for the new "Ask Me Anything" segment anonymously to [email protected] No question is too personal or too awkward—this is your shame-free space.
Subscribe to Pleasure In The Pause so you don't miss the exciting new conversations coming in 2026, and share this episode with a woman in your life who needs permission to prioritize her pleasure and step into her next chapter with confidence.
LINKS MENTIONED:
Let’s Talk Menopause
Midlife Private Parts
Hot Document
CONNECT WITH GABRIELLA ESPINOSA:
Instagram
LinkedIn
Work with Gabriella!
Go to https://www.gabriellaespinosa.com/ to book a call.
Full episodes on YouTube.
The information shared on Pleasure in the Pause 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.
83 | The Best of 2025: Hormones, Desire & Pleasure for Midlife Women
2025/12/24
Are you struggling with hormone therapy that isn't working? Wondering why testosterone for women is so hard to access? Feeling confused about vaginal estrogen warnings? This special Best of 2025 episode of Pleasure In The Pause tackles the most pressing questions midlife women asked this year about hormone optimization, sexual satisfaction, and reclaiming pleasure during perimenopause and menopause.
Host Gabriela Espinosa revisits the year's most downloaded conversations—featuring leading women's health experts discussing hormone therapy optimization, the truth about testosterone for women, the historic FDA hearing on vaginal estrogen, redefining sexual satisfaction in midlife, exploring fantasy and desire, and discovering the five essential pleasure principles every woman should know. Whether you're navigating symptoms, considering hormone therapy, or simply want to feel more alive in your body, this episode delivers evidence-based insights and empowering tools for thriving through midlife.
Featuring conversations with Dr. Jila Senemar, Dr. Susan Hardwich-Smith, Dr. Laurie Mintz, and Lauren Elise Rogers.
Highlights from our discussion include:
The "big three" hormones—estradiol, progesterone, and testosterone—each address different menopausal symptoms, and treatment should be individualized based on your top priorities like sleep, mood, energy, or libido.Women naturally produce more testosterone than estradiol throughout their lives, yet have zero FDA-approved testosterone products compared to men's 20+, despite proven benefits for libido, bone health, muscle mass, and cognitive function.Low-dose vaginal estrogen cannot be detected in the bloodstream yet carries an unfounded FDA black box warning, preventing millions of women from accessing a safe treatment that prevents 50% of UTIs.Only 4-18% of women orgasm from penetration alone, and less than 2% use penetration when masturbating—closing the pleasure gap requires prioritizing clitoral stimulation as the main event, not just "foreplay."Erotic fantasy, built on the four cornerstones of longing, taboo, power, and ambivalence, can be a healthy springboard to arousal when integrated openly rather than pushed into the shadows.A turned-on life in midlife isn't about performance or sexy lingerie—it's about living in alignment with what fuels your joy, vitality, and truth, whether through art, nature, movement, or intimate touch.2025 was a turning point for women's health—from historic FDA hearings to conversations shattering decades of sexual myths and medical dogma. These six episodes represent what midlife women are hungry for: truth, empowerment, and permission to reclaim pleasure on their own terms.
As you move into 2026, remember that your pleasure isn't optional—it's your birthright. Whether you're advocating for better hormone therapy, learning what actually brings you to orgasm, or discovering what makes you feel fully alive, this is your invitation to thrive.
CONNECT WITH GABRIELLA ESPINOSA:
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LinkedIn
Work with Gabriella!
Go to https://www.gabriellaespinosa.com/ to book a call.
Full episodes on YouTube.
The information shared on Pleasure in the Pause 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.
82 | Top Products and Rituals for Intimate Wellness & Self-Care
2025/12/17
Struggling with vaginal dryness, decreased sensitivity, or feeling disconnected from your body in midlife? You're not alone. In this solo episode of Pleasure in the Pause, host Gabriella Espinosa shares her personally tested intimate wellness tools and self-care rituals that support vulva vitality, arousal, and sensual connection during menopause and beyond. From vaginal moisturizers and arousal oils to vibrators backed by research, Gabriella breaks down why intimate wellness isn't optional—it's essential self-care.
Find all products on the Intimacy Holiday Gift Guide
Whether you're experiencing menopause symptoms like tissue thinning and reduced lubrication, or simply want to deepen your pleasure practice, this episode offers practical product recommendations and embodied rituals to help you reconnect with your sensuality. Think of it as your intimate wellness holiday gift guide, designed to remind you that your pleasure has no expiration date.
Key Takeaways:
Intimate wellness is essential self-care, not optional.Vaginal skin care products can transform your comfort and confidence.Lubrication is non-negotiable during intimacy—there's zero shame in using it.Vibrators are wellness tools backed by science.Sensual rituals extend pleasure beyond the bedroom. Your body—exactly as it is right now—is worthy of attention, care, and pleasure. This week, choose one ritual or tool from this episode to explore.
CONNECT WITH GABRIELLA ESPINOSA:
Instagram
LinkedIn
Work with Gabriella!
Full episodes on YouTube.
The information shared on Pleasure in the Pause 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.
81 | Boudoir Photography for Women Over 40: Reclaim Your Confidence with Felicia Reed
2025/12/10
Do you feel invisible as a woman over 40? Struggling with body image after menopause, weight gain, or breast cancer? Wondering if you're "too old" to feel sexy and confident again? In this transformative episode of Pleasure in the Pause, host Gabriela Espinosa welcomes portrait and boudoir photographer Felicia Reed for an intimate conversation about reclaiming your sensuality, worthiness, and power in midlife.
Felicia shares her personal journey through breast cancer, forced menopause, and body changes—and how photography became her path back to self-acceptance. If you've ever thought "I'll do a photoshoot when I lose weight" or felt like you've lost yourself in the roles of mom, wife, and caregiver, this episode offers permission to show up authentically, celebrate your body now, and rewrite the narrative around aging and beauty.
Felicia Reed is a passionate portrait photographer and Master Mindset Coach, as well as a resilient breast cancer survivor. With a mission to help people break free from the chains of limiting beliefs, Felicia empowers her clients to live lives of freedom and fulfillment. She encourages you to boldly ask for what you desire, reminding you that what you want wants you just as much.
Key Takeaways:
You are worthy of being seen right nowBoudoir photography is about reclaiming your power, not perfectionThe domino effect of female empowermentMenopause body changes require self-compassion, not self-criticismCreating visual legacy anchors your boldnessHere's your permission slip: You don't have to wait. You don't have to be smaller, younger, or different. You are allowed to invest in yourself, to be seen, to feel sensual and powerful exactly as you are in this moment.
As Felicia beautifully reminds us: "You are worthy to be celebrated, period. For no reason whatsoever. Just because."
Your next step: If this conversation stirred something in you—that quiet inner nudge to honor where you are right now—listen to it. Whether it's booking a photoshoot, speaking kinder words to your reflection, or simply giving yourself permission to take up space unapologetically, choose one small act of self-celebration this week.
Special note: Felicia is celebrating her 50th birthday this December with a special promotion—$397 photoshoots with a $1,000 gift card toward packages. Connect with her if you're ready to gift yourself this transformative experience.
CONNECT WITH FELICIA REED:
Instagram
Website
CONNECT WITH GABRIELLA ESPINOSA:
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Work with Gabriella!
Go to https://www.gabriellaespinosa.com/ to book a call.
Full episodes on YouTube.
The information shared on Pleasure in the Pause 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.
80 | The Good Vibes Episode: Vibrators, Libido, and Midlife Sexual Wellness
2025/12/03
Struggling with low libido, painful sex, or poor sleep during menopause? There's a science-backed wellness tool that can help with all of these symptoms and more—but it's been wrapped in shame for far too long. In this episode, we're having an honest, research-based conversation about vibrators as legitimate health tools for midlife women, and why sexual wellness is essential wellness. This episode explores how vibrators support women's health during perimenopause and menopause, backed by compelling research from the Kinsey Institute and other studies.
You'll discover why the clitoris is the primary source of orgasm for 80% of women, how external vibration improves pelvic floor health without requiring orgasm, and why midlife libido shifts from spontaneous to responsive desire. We'll bust harmful myths, discuss different types of vibrators, share practical guidance on choosing and using them, and explain how regular use can improve sleep, mood, stress levels, lubrication, and menopause symptoms. This is a shame-free, science-grounded guide to reclaiming your pleasure and vitality.
Key Takeaways / Main Points:
• Research shows women ages 40-65 rated self-pleasure at 4.35 out of 5 for menopause symptom relief, more effective than many lifestyle changes
• The clitoris contains over 10,000 nerve endings and external stimulation is how 80% of women experience orgasm
• Gentle external vibration for just 5-10 minutes, 2-3 times weekly improves pelvic floor relaxation, reduces UTIs, eases vaginal dryness, and relieves painful intercourse
• Vibrators increase blood flow to genital tissue, restore sensitivity lost to declining estrogen, and help your body remember pleasure
• Orgasms release dopamine, oxytocin, and endorphins that regulate mood, lower cortisol, improve sleep, and strengthen your pelvic floor
Check out Gabriella's Intimacy Holiday Gift Guide for curated vibrator recommendations, lubricants, and sensual essentials to support your journey. Remember: you deserve sensation, connection, and joy—not someday, but now.
CONNECT WITH GABRIELLA ESPINOSA:
Instagram
LinkedIn
Work with Gabriella!
Go to https://www.gabriellaespinosa.com/ to book a call.
Full episodes on YouTube.
The information shared on Pleasure in the Pause 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.
79 | How To Reclaim Body Confidence And Build Strength After 40 with Megan Dahlman
2025/11/26
Looking in the mirror and not recognizing your body anymore? Despite eating well and staying active, your body keeps changing in ways that feel beyond your control. Your jeans don't fit, your belly feels thicker, and your old fitness routine just isn't working.
In this episode of Pleasure in the Pause, host Gabriella Espinosa talks with menopause fitness specialist Megan Dahlman about what's really happening to your body during perimenopause and menopause—and what you can actually do about it. Learn practical, science-backed strategies to build strength, improve body composition, and feel confident in your changing body.
In her 17 years of professional training, Megan Dahlman has become the sought-after trainer for women over 40 who want to be strong and live a long, healthy life. Leveraging a degree in Exercise Science and certification as a Strength and Conditioning Specialist (CSCS), she has an uncanny ability to make fitness and nutrition simple, doable, and, most importantly, sustainable. No fad diets or trendy gadgets required!! Through her weekly newsletter, top-ranked podcast, and popular online training programs and courses, her mission is to help every woman in midlife (and beyond) feel strong, pain-free, and confident in all aspects of her body.
Highlights from our discussion include:
Understanding body composition: It's not just about the scale—learn the difference between lean mass (muscle, bone, organs) and fat mass, and why muscle matters more than ever in midlife.Visceral vs. subcutaneous fat: Menopausal women store more dangerous visceral fat around organs due to declining estrogen, which explains belly weight gain even without scale changes.Muscle is your superpower: Building muscle improves metabolism, bone density, hormone regulation, and energy. Make strength training your primary focus and other health goals will follow.Know your metabolic body type: Understanding if you're an ectomorph, mesomorph, or endomorph helps you set realistic expectations and train effectively for your unique body.Three essential exercises: Do these anywhere—squats (10 reps), countertop push-ups (10 reps), and planks (hold for 3-5 deep breaths).Hormones matter: Declining estrogen disrupts cortisol and insulin regulation. Manage stress daily through walks, breathwork, and rest.Break the all-or-nothing cycle: Stop swinging between extreme restriction and giving up. Ask daily: "What can I do today?"It's not too late: Your body can still build strength and improve at any age, regardless of your starting point.This week, choose ONE movement that feels good in your body and do it daily—not as punishment, but as an act of self-care.
CONNECT WITH MEGAN DAHLMER:
Instagram
Website
Podcast
Body Type Quiz
CONNECT WITH GABRIELLA ESPINOSA:
Instagram
LinkedIn
Work with Gabriella!
Go to https://www.gabriellaespinosa.com/ to book a call.
Full episodes on YouTube.
The information shared on Pleasure in the Pause 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.
78 | Gratitude, Mindset & Menopause: Small Shifts That Change Everything with Dr. Deepti Gandhi
2025/11/19
Are you navigating perimenopause or menopause and feeling disconnected from yourself? This episode of Pleasure in the Pause explores how gratitude can be a powerful tool for calming your nervous system, managing midlife symptoms, and finding meaning during this transformative phase. Gabriela Espinosa sits down with Dr. Deepti Gandhi, a board-certified family medicine physician and menopause specialist, to uncover the neuroscience behind gratitude practices and how they can help you reconnect with yourself during hormonal transitions. Whether you're struggling with brain fog, anxiety, or simply feeling overwhelmed, this conversation offers evidence-based strategies and a guided gratitude practice that you can start today.
Dr. Deepti Gandhi is a board-certified family medicine physician with over 20 years of experience supporting women through menopause. As a North American Menopause Society (NAMS) certified practitioner and personal development coach, she brings both scientific expertise and compassionate guidance to women's health. Dr. Gandhi specializes in hormone replacement therapy (HRT), symptom management, and mindset tools for thriving in midlife. She maintains a private practice, works with the telehealth company My Alloy, and is a sought-after speaker on menopause and women's wellness.
Highlights from our discussion include:
Practicing gratitude shifts neurotransmitters like serotonin and dopamine, which directly impact mood and decision-making. It also activates pro-social brain circuitry, helping you move from fear-based thinking to connection and resilience—especially important during the emotional rollercoaster of perimenopause.Gratitude is not about toxic positivity or bypassing difficult emotions. You must feel anger, grief, and frustration about midlife changes before gratitude can create meaningful shifts. Suppressed emotions can manifest as physical illness, so give yourself permission to process what you're experiencing.You don't need elaborate rituals. Dr. Gandhi prescribes gratitude just like medication—whether it's journaling three things before bed, sharing gratitude at the dinner table, or taking two minutes for a self-gratitude breathing exercise, consistency matters more than complexity.The decline in estrogen that comes with menopause can actually free you from people-pleasing patterns and excessive caretaking. This transition invites you to redraw boundaries, prioritize yourself, and design a new blueprint for the decades ahead—you're a trailblazer creating a healthier model for future generations.This week, try the guided self-gratitude practice from this episode. It might just shift everything.
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The information shared on Pleasure in the Pause 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.
77 | FDA Removes Black Box Warning From Hormone Therapy: What Women Need To Know In 2025
2025/11/12
Have you been living with debilitating hot flashes, sleepless nights, or painful intercourse because you're terrified hormone therapy will give you cancer? What if everything you've been told about menopause treatment has been wrong?
In this urgent episode of Pleasure In the Pause, host Gabriela Espinosa reveals a seismic shift in women's healthcare: the FDA has just eliminated the fear-based black box warnings that have kept millions of women from accessing hormone therapy for over two decades. This isn't just a policy change—it's a complete vindication of the science that's been buried under misinformation since 2002.
Highlights from our discussion include:
A Misinterpreted Study Created Two Decades of Unnecessary Suffering.The Real Breast Cancer Numbers Tell a Different Story.Hormone Therapy Rivals Statins for Heart Protection (But Nobody Talks About It).Your Symptoms Aren't "Just Part of Aging" and They're Not Trivial.Timing Is Everything for Maximum Benefit.The era of dismissing, minimizing, and scaring women away from effective treatment is over.
This FDA decision represents more than regulatory housekeeping—it's a fundamental shift in how women's health is valued and treated. But knowing your options exist is only the first step. Now it's time to advocate for yourself. Every woman who hears this information is one step closer to reclaiming her health, her comfort, and her power. The grassroots advocacy that made this FDA decision possible—including the 26,000+ signatures collected by Let's Talk Menopause—proves that our voices matter.
If you're seeking to reclaim your pleasure and vitality, join Gabriella at www.pleasureinthepause.com for this enlightening journey into the heart of female pleasure and empowerment.
LINKS MENTIONED:
Ep 34 with Jill Chmielewski
FDA Press Conference
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The information shared on Pleasure in the Pause 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.
76 | Midlife As A Living Bardo: How To Embrace Change And Find Peace With Ann Tashi Slater
2025/11/05
Feeling stuck in the unsettling space between who you were and who you're becoming? If you're navigating midlife transitions—whether it's empty nest, perimenopause, aging parents, or shifting identity—this episode of Pleasure in the Pause offers a transformative perspective on living consciously through change.
Host Gabriela Espinosa sits down with Ann Tashi Slater to explore the Buddhist concept of "bardo"—the in-between state—as a powerful model for midlife transformation. If you've been resisting change, clinging to what was, or feeling overwhelmed by uncertainty, this conversation reveals how accepting impermanence can actually open the door to deeper peace, creativity, and joy. Discover practical daily practices for meeting life's transitions with awareness instead of resistance, and learn how to live fully awake in the great in-between of midlife.
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.
Ann Tashi Slater is the author of Traveling in Bardo: The Art of Living in an Impermanent World. She contributes to The New Yorker, The New York Times, The Washington Post, The Paris Review, Oprah Daily, Guernica, Granta, and many others. Her speaking engagements include Princeton, Columbia, Oxford, the American University of Paris, and Asia Society.
Highlights from our discussion include:
Bardo as a midlife model: The Buddhist concept of bardo—the in-between state—perfectly describes midlife when we're no longer who we were but not yet who we're becoming.Acceptance unlocks action: True acceptance doesn't mean giving up—it allows meaningful action. We must acknowledge reality before we can move forward through any transition.Resistance causes suffering: It's not change itself that threatens us, but our resistance to it. Clinging to what was creates additional suffering on top of natural grief.Practice noticing transitions: Build comfort with impermanence by observing daily beginnings and endings—the start and end of each day, changing seasons, how you've evolved over time.This week, notice one beginning and one ending in your day. Then ask yourself: If things could be exactly as I wanted, what would my life look like? Remember—wanting to be happy isn't selfish, it's human.
If you're seeking to reclaim your pleasure and vitality, join Gabriella at www.pleasureinthepause.com for this enlightening journey into the heart of female pleasure and empowerment.
CONNECT WITH ANN TASHI SLATER:
Traveling In Bardo
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Go to https://www.gabriellaespinosa.com/ to book a call.
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The information shared on Pleasure in the Pause 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.
75 | Nervous System Regulation for Menopause: Reduce Stress and Increase Pleasure
2025/10/30
Are you struggling with anxiety, sleeplessness, and low libido in perimenopause—even after starting hormone therapy? You're doing everything right, but still feel wired, exhausted, and disconnected from pleasure. The missing piece might surprise you: it's your nervous system.
In this episode of Pleasure in the Pause, host Gabriela Espinosa reveals why balancing hormones alone isn't enough. Groundbreaking research from UC San Francisco shows that your nervous system is literally woven into your ovaries, directly influencing how you age, how you experience menopause symptoms, and how much pleasure you can access in your body. If you've felt like your body is betraying you in midlife, this conversation will change how you understand stress, hormones, and intimacy forever.
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.
Highlights from our discussion include:
Your nervous system and hormones are in constant conversation. Declining estrogen makes your nervous system more reactive to stress, which is why you suddenly feel more anxious and on edge in perimenopause—it's biology, not "in your head."New research reveals your stress response is wired into your ovaries. Scientists at UC San Francisco discovered that sympathetic nerves (fight-or-flight) form dense networks in your ovaries and directly influence how they age. Chronic stress doesn't just affect your mood—it affects your ovarian health and longevity.Pleasure requires nervous system safety. When you're stuck in fight, flight, or freeze, your body can't access pleasure or intimacy. You need to feel safe in your body first before you can experience arousal, desire, and deep connection.You need both calm AND charge. The goal isn't to always be relaxed—you need sympathetic energy for desire and aliveness, and parasympathetic energy for rest and connection. True nervous system health is flexibility: moving fluidly between states.Simple practices make a profound difference. Grounding exercises like feeling your feet on the floor, humming to stimulate your vagus nerve, taking micro-pauses throughout the day, and naming your nervous system state can help you shift from survival mode to safety and pleasure.Your nervous system isn't something to fix or control—it's something to befriend and partner with. It's your body's way of speaking to you, telling you when you need rest, movement, connection, or pleasure. This week, practice one simple tool: when you feel overwhelmed, pause and feel your feet on the ground. Notice the contact. Take three deep breaths. This small act tells your nervous system you're safe—and that's where healing and pleasure begin.
CONNECT WITH GABRIELLA ESPINOSA:
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Go to https://www.gabriellaespinosa.com/ to book a call.
Full episodes on YouTube.
The information shared on Pleasure in the Pause 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.
Podcast reviews
Read Pleasure in the Pause: Midlife Conversations About Menopause, Sex & Pleasure podcast reviews
4.1 out of 5
9 reviews
★★★★★
Mari Mari2024 2026/01/09
My go to resource on all things menopause
Pleasure in the Pause is one of my top three podcasts to get informed about what’s happening to my body as I navigate peri/menopause. From sexual well...
★★★★★
Jiiiiiiji 2026/01/09
Delight!
Love tuning in every week. Lots of good information on midlife. My favorite so far has been Traveling in Bardo with Ann T. Slater.
★★★★★
Stefi Lane 2024/04/18
I feel so good listening!
The perfect podcast if you’re feeling not your brightest self, but need a quick pick me up and listening to Gabriella’s voice is so soothing and inspi...