Couverture de Pleasure in the Pause: Midlife Conversations About Menopause, Sex & Pleasure

Pleasure in the Pause: Midlife Conversations About Menopause, Sex & Pleasure

Pleasure in the Pause: Midlife Conversations About Menopause, Sex & Pleasure

De : Gabriella Espinosa
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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

© 2026 Pleasure in the Pause: Midlife Conversations About Menopause, Sex & Pleasure
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Épisodes
  • 106 | The Menopause Gut: The Missing Link Between Hormones, Mood, Sleep & Energy with Cynthia Thurlow
    Jun 3 2026

    What if the brain fog, the broken sleep, the mood swings, the weight that won't budge, and the libido that has gone missing are not a collection of separate problems? What if they are one connected story and the missing piece of that story is your gut?

    In this episode of Pleasure in the Pause, Gabriela sits down with Cynthia Thurlow, nurse practitioner, bestselling author, and host of the Everyday Wellness podcast, to explore her groundbreaking new book The Menopause Gut: Balance Your Microbiome to Reclaim Your Health in Midlife and Beyond. Cynthia has spent a decade working exclusively with midlife women, and what she keeps seeing is this: women doing all the right things and still not feeling like themselves. Her book offers a fascinating new lens through which to understand why, and what to do about it.

    Cynthia Thurlow is a nurse practitioner, two-time TEDx speaker, international speaker, and CEO and founder of the Everyday Wellness Project. With over 25 years of experience in health and wellness, she is a globally recognized expert in perimenopause, menopause, intermittent fasting, and women's metabolic health. Her latest book The Menopause Gut: Balance Your Microbiome to Reclaim Your Health in Midlife and Beyond is available everywhere books are sold.

    In this episode, we discuss:

    • What the gut microbiome actually is and why it sits at the center of midlife health
    • The estrobolome — the part of your gut that processes and eliminates estrogen — and why it matters on HRT
    • How the gut and brain are connected through the vagus nerve and what that means for mood, anxiety, and desire
    • Why 90% of serotonin is made in the gut and what that means for midlife mood swings
    • How trauma history contributes to weight loss resistance and early menopause
    • Practical starting points: protein, fiber, sleep rituals, strength training, and the power of saying no
    • Why supporting your gut ripples out into energy, vitality, mood, and pleasure

    My hope is that this episode helps you see your symptoms as one connected story — and gives you a clear, practical place to begin.

    Cynthia says it simply: major in the majors. Before the supplements and the protocols and the testing, it is the basics — how you eat, how you sleep, how you manage stress, and how honestly you honor your own limits — that move the needle most. Your gut is not a separate system. It is the ecosystem everything else depends on.

    If this episode resonated, subscribe to Pleasure in the Pause and share it with a woman in your life who has been doing all the right things and still not feeling like herself. And grab Cynthia's book — it is one of the most practical and comprehensive guides to midlife health I have come across.


    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.


    CONNECT WITH CYNTHIA THURLOW:

    Website

    Instagram

    Podcast

    Substack


    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.

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    49 min
  • 105 | Hormone Therapy After Breast Cancer: Breaking Down The Fear, Myths & Research With Dr. Susan Hardwick Smith
    May 27 2026
    Hormone therapy after breast cancer is one of the most nuanced and emotionally charged conversations in women’s health.For decades, many women have been told the answer is simply: no.No discussion.No nuance.No consideration of quality of life, sexual health, bone health, brain health, or the individual woman sitting in the exam room.But what does the research actually say?In this episode of Pleasure in the Pause, I welcome back Dr. Susan Hardwick-Smith, board-certified gynecologist and certified menopause practitioner, for a grounded, evidence-informed conversation about hormone therapy after breast cancer.This is not a conversation about ignoring risk.It is a conversation about understanding risk clearly, asking better questions, and making informed decisions in partnership with your physician.About our guest: Dr. Susan Hardwick-Smith is a Board-Certified Gynecologist and certified menopause practitioner specializing in women's midlife wellness, hormone optimization and sexual wellness. She is the founder of Complete Midlife Wellness Center in Houston, TX, and the best-selling author of "Sexually Woke- Awaken the Secrets to Your Best Sex Life in Midlife and Beyond." She also hosts the popular podcast "Empowering Midlife Wellness." Dr. Susan is the recipient of the Texas Super Doctor award over a dozen times, as well a multiple time recipient of H-Texas magazine's Top Doctor and Top Doctor for Women awards. She also has been chosen as one of Houston's "3 best rated" gynecologists several consecutive years. Dr. Susan is also an ICF certified life and leadership coach, multiple time marathoner and Ironman triathlete, and mother of 3 teenagers. Highlights from our discussion include:What the Women’s Health Initiative actually found — and why the headlines created so much confusionWhy breast cancer type matters when discussing hormonesWhat the research shows about hormone therapy and breast cancer recurrenceWhy some women on aromatase inhibitors may still be able to discuss options like progesterone, testosterone, and vaginal estrogen with their doctorHow to prepare for a more informed conversation with your physicianWhy collaborative decision-making matters in women’s healthcareThe importance of considering quality of life, sexual health, bones, heart, and brain health — not just risk My hope is that this episode helps you feel more informed, more empowered, and more confident asking questions about your own body and care. 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.Resources:Dr. Susan Hardwick Smith: https://drsusan.com/ Instagram: https://www.instagram.com/drsusanofficial/ Bluming review article in Cancer journal (2022): https://pubmed.ncbi.nlm.nih.gov/35594465/ Menopause Society consensus paper (January 2026): https://www.imsociety.org/statements/position-papers-and-consensus-statements/ Hormone Replacement Therapy After Breast Cancer: It Is Time Avrum Z. Bluming, MD LINK - https://bit.ly/4st0uji Menopausal Hormone Therapy for Breast Cancer Patients: What Is the Current Evidence? LINK - https://bit.ly/41leKytAmerican Urological Association Guidelines on GSM 2025 https://www.auanet.org/guidelines-and-quality/guidelines/genitourinary-syndrome-of-menopauseCONNECT WITH GABRIELLA ESPINOSA:InstagramLinkedInWork 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.
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    47 min
  • 104 | Untamed Pleasure: The Keys To Unlocking Desire In Midlife With Carly Mountain
    May 20 2026

    When you hear the word erotic, what comes up for you?

    For most of us it immediately conjures images of sex, the taboo, or something forbidden. But eroticism is so much bigger than that. At its core, the erotic is about aliveness. It is our capacity to feel present, connected, awake to beauty, pleasure, desire, creativity, and the experience of being fully in our bodies.

    And it is something so many women lose touch with, especially in midlife, when stress, caregiving, hormonal shifts, and the relentless pace of everyday life leave us feeling disconnected from ourselves.

    In this episode of Pleasure in the Pause, Gabriela welcomes back somatic psychotherapist, sex therapist, and author Carly Mountain for one of the most expansive and thought-provoking conversations this show has ever had. Carly's new book, Untamed Pleasure: Unleash Your True Erotic Nature, is an invitation to examine the invisible cages that have domesticated our pleasure, and to find the keys that live inside us to open them.

    Carly Mountain is a somatic psychotherapist, sex therapist, sacred space holder and author of Descent & Rising: Women’s Stories & the Embodiment of the Inanna Myth and Untamed Pleasure: Unleash Your True Erotic Nature. She is passionate about facilitating people to reconnect with their inherent erotic aliveness, power and pleasure. She lives in Sheffield, England with her husband and two daughters.

    Highlights from our discussion include:

    • What eros and eroticism actually mean and why they are so much bigger than sex
    • The cages — cultural and personal — that domesticate women's pleasure and how to start finding the keys
    • Why midlife may actually be the most erotic chapter of a woman's life
    • How communication is the skeleton key that opens every single cage
    • The six bodies framework and why giving the emotional body its own wisdom is so important for women
    • Creative transgression as a pathway back to erotic aliveness and what that can look like in practice

    When pleasure has gone quiet in your life, Carly says it is not a sign that something is over. It is a compass pointing you toward where you need to go next. The cages are real. And so are the keys. They have been inside you all along.


    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 CARLY MOUNTAIN:

    Website

    Instagram

    Ep 10: Carly Mountain


    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.

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    1 h et 3 min
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