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September 24, 2025 27 mins

Did you know that 75% of midlife women experience sexual health changes, but only 7% receive treatment. Why? Because we're staying silent. In this episode of Pleasure In the Pause, certified women's health coach Gabriela Espinosa reveals how this silence is costing us our health, relationships, and vitality. Learn why sexual health isn't optional—it's essential to your overall wellbeing in perimenopause, menopause, and beyond.

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Highlights from our discussion include:

  • The Hidden Crisis: 75% of midlife women have sexual health changes, but most suffer in silence—leading to depression, anxiety, and relationship breakdown
  • Healthcare Gaps: Only 25% of medical schools teach sexual health; 80% of doctors won't bring it up unless you do first
  • The Pleasure Gap: 73% of women prioritize their partner's pleasure over their own, missing out on satisfaction that's essential to their vitality
  • Breaking Generational Silence: Your silence around sexuality was passed down through generations—it's time to break the cycle
  • The Power of Speaking Up: Women who discuss sexual health show 67% improvement in desire and 58% increase in satisfaction within 12 weeks

This Sexual Health Awareness Month, choose one conversation you've been avoiding. Whether it's scheduling that appointment, having an honest talk with your partner, or simply speaking more kindly to yourself about your evolving body—your voice matters. Every time you speak openly about your sexual health, you give another woman permission to do the same and break a link in the generational silence chain.

Your silence has cost you enough. It's time for your satisfaction.

Ready to dive deeper? Subscribe to Pleasure In the Pause and share this episode with the women in your life who need to hear this message. Together, we're moving from silence to satisfaction.

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 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.

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