Bladder leaks, dryness, and low libido aren’t exactly dinner table topics… but maybe they should be. These issues are way more common than we think, especially during and after menopause, and they have a huge impact on how we feel day to day. That’s why I sit down with Dr. Rena Malik, a Board-Certified Urologist and Sexual Medicine Specialist who’s made it her mission to talk about the things most people won’t.

We talk about everything from pelvic floor problems to how hormones like estrogen and testosterone affect our sexual health and bladder function. Dr. Rena shares why stress makes things worse (yep, even your bladder feels it), and how simple things like breathing or pelvic floor therapy can help you get back in tune with your body. She also breaks down what options are really worth exploring—like vaginal estrogen, testosterone therapy, and a few new treatments you may not have heard of yet.

If your body’s been sending signals you’ve been ignoring, consider this your sign to tune in and start listening. And hey, if you’re in the mood to give your body a little extra support, I’ve been loving the new Mighty Maca Mango lately. It’s refreshing, light, and packed with all the superfood goodness—plus, it tastes amazing in sparkling water (or turned into a popsicle). You can check it out at dranna.com—it’s been my go-to pick-me-up lately!

Key Timestamps:

[00:00:00] Introduction.

[00:06:28] Improving quality of life.

[00:08:15] Pelvic floor health issues.

[00:10:45] Bladder health myths debunked.

[00:13:48] Neuromodulation treatments for bladder issues.

[00:19:17] Hormones for pelvic floor health.

[00:22:06] Restoring sexual function and orgasm.

[00:26:22] Testosterone's role in women's health.

[00:33:10] Effects of stress on the bladder and how to reverse it.

[00:36:27] Clenching during orgasm.

[00:39:47] Enjoying the journey in sex.

[00:42:08] Scheduling intimacy for connection.

Memorable Quotes:

"One of the other myths is that incontinence is normal or leakage is normal. Like everyone just leaks after they have babies. That's a normal thing. And it's not. And same thing with UTIs. They're not normal." [00:11:45] – Dr. Rena Malik

"I would argue that scheduling intimacy is probably one of the underrated tools that people use. We schedule date night to go have dinner and talk. We should schedule time for intimacy." [00:41:58] – Dr. Rena Malik

Links Mentioned:

Mighty Maca Mango: https://drannacabeca.com/products/mighty-maca

Sexual CPR: http://sexualcpr.com/

Connect with Dr. Rena Malik:

Website: https://www.renamalikmd.com

Instagram: http://www.instagram.com/RenaMalikMD

Facebook: https://www.facebook.com/RenaMalikMD

YouTube: https://www.youtube.com/c/RenaMalikMD

Connect with Dr. Anna Cabeca:

Website: https://drannacabeca.com/pages/show

Instagram: https://www.instagram.com/thegirlfrienddoctor/

YouTube: https://www.youtube.com/@thegirlfrienddoctor

TikTok: https://www.tiktok.com/@drannacabeca

Produced by Evolved Podcasting: www.evolvedpodcasting.com