Couch Talk W/ Dr. Anna Cabeca

If you've ever wondered why UTIs, vaginal infections, or bladder issues seem to suddenly appear in midlife—you are not alone… and you are not imagining it. In this powerful solo episode, Dr. Anna Cabeca breaks down the real root causes behind recurrent UTIs and vaginal health issues during perimenopause and menopause—and why conventional approaches often miss the mark. As a triple board-certified OB-GYN and integrative medicine expert, Dr. Anna brings both clinical insight and heartfelt guidance to a topic many women are too embarrassed to talk about—but desperately need to understand. Drawing from decades of experience and emerging microbiome science, she reveals how hormonal shifts, vaginal pH changes, and microbiome imbalances create the perfect storm for recurring infections—and what you can do about it. In this episode, you'll discover: • Why declining estrogen, progesterone, and DHEA directly impact bladder and vaginal health • The critical role of the vaginal microbiome (and why diversity is not always