Encore: Perimenopause, Pleasure & Prevention with Dr. Leila Zafaranchi (Ep 18)

In this powerful (and refreshingly honest) episode of What She's Having, Jennifer and Britney sit down with Dr. Zafaranchi, a board-certified OB-GYN with over 21 years of experience and a passion for helping women feel informed, confident, and in control of their health. From perimenopause and hormone imbalance to sleep issues, low libido, anxiety, weight changes, and vaginal health, Dr. Saffari breaks down what really happens to women's bodies after 40 — and why so many symptoms are dismissed or misunderstood. The conversation goes deep into: The difference between perimenopause, menopause, and post-menopause Why bioidentical hormones matter (and why not all hormone therapies are equal) The risks of pellets and why individualized care is critical Preventative health: paps, mammograms, ultrasounds, thyroid screening Vaginal rejuvenation, bladder health, intimacy, and why "just live with it" is never the answer This episode is educational, empowering, hilarious at times, and absolutely essential listening for any woman who wants to age boldly — not silently. Because feeling good isn't vanity. It's health. And today, we're having what she's prescribing. ⏱️ Timestamps 00:00 – 01:00 – Welcome to What She's Having: Aging boldly after 40 01:00 – 02:30 – Introducing Dr. Zafaranchi & why this conversation matters 02:30 – 06:00 – What actually changes in women's bodies after 40 06:00 – 09:30 – Perimenopause explained (and why bloodwork alone isn't enough) 09:30 – 13:30 – Hormones, sleep, anxiety, libido & feeling "off" 13:30 – 17:30 – Bioidentical hormones vs. birth control & pellets 17:30 – 21:30 – The real risks of pellets & why monitoring matters 21:30 – 26:30 – Preventative care: mammograms, ultrasounds & early detection 26:30 – 31:00 – Vaginal health, bladder control & intimacy after childbirth 31:00 – 36:30 – MonaLisa Touch: what it is & why it works 36:30 – 41:00 – Pelvic floor therapy, "the chair," and avoiding surgery 41:00 – 46:30 – Why women shouldn't accept pain, dryness, or discomfort as "normal" 46:30 – 53:30 – Pap smears, HPV, and why yearly exams still matter 53:30 – 59:30 – Thyroid health, self-advocacy & trusting your body 59:30 – 1:01:45 – Final takeaways: prevention, pleasure & aging with confidence 📍 Dr. Leila Zafaranchi – Contact Info Practice: Women's Health & Gynecology Specialty: OB-GYN | Hormone Health | Preventative Care | Vaginal Rejuvenation Location: Calabasas, California 🌐 Website: https://drzvaginalrejuvenation.com/ 📞 Phone: 818-887-1888 📍 Accepting Patients: Southern California Note: For vaginal rejuvenation & hormone-trained providers outside CA, Dr. Zafaranchi recommends searching via MonaLisa Touch and A4M (Age Management Medicine) provider directories.