Perimenopause, Pleasure & Prevention with Dr. Leila Zafaranchi

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. Zafaranchi 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. Leila 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.