This is a milestone episode. Episode 100 of Pleasure in the Pause marks two years of bold, honest conversations about women's bodies, pleasure, and sexual health in midlife — and this one is personal. For the first time, host Gabriela Espinosa steps out from behind the microphone and into the hot seat, interviewed by her friend and fellow midlife health advocate Karen Cerezo.

If you have ever felt dismissed by a doctor, confused by the changes in your body, or quietly assumed that pleasure was something you would just have to let go of in this chapter of life — this episode is your reminder that you are not alone, and that assumption is wrong. Gabriela shares the deeply personal story behind why she started this podcast, what she learned from 100 conversations with leading experts in sexual health and intimacy, and where the conversation is headed next. From the surprising gap in women's knowledge about their own anatomy, to cutting-edge medical tools most women have never heard of, to what it really means to step into your sixties with intention — this episode covers it all.

Karen Cerezo is a nationally board-certified health coach, certified personal trainer, menopause expert, TEDx speaker, and founder of Lifestyle Fitness. With over a decade of experience helping women in midlife navigate perimenopause and beyond, Karen blends science-backed education with real-life practicality to help women reclaim strength in their bodies, their choices, and their confidence. Karen specializes in menopause education, hormone health, strength training after 45, and the hidden cost of ignoring midlife health in the workplace. She is the author of Navigating Menopause: A Comprehensive Wellness Tracking Journal and a sought-after speaker who makes complex hormone conversations clear, relatable, and actionable.

Highlights from our discussion include:

• Sexual pleasure in midlife is not over — it just looks different.
• Systemic hormones and local hormone therapy are not the same thing — and most women are only doing one when they may need both.
• Knowing your own anatomy is the foundation of self-advocacy.
• Pelvic floor therapy is one of the most underused and most effective tools available to women in midlife.
• Pleasure is broader than the bedroom.

This podcast started because Gabriela had no language for what was happening in her own body. A hundred episodes later, that conversation has reached women in 106 countries — and it is just getting started.

If this episode resonated, subscribe to Pleasure in the Pause and share it with a woman in your life who needs to hear it. And if you have been part of this community from the beginning, thank you. This milestone belongs to you, too.

CONNECT WITH KAREN CEREZO:

Website: https://www.midlifehealthcoach.com/

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

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.