About Anna M. Cabeca, DO, FACOG, ABAARM
Dr. Anna Cabeca is a board certified Gynecologist and Obstetrician, as well as board certified in Anti-Aging and Regenerative Medicine, an expert in Functional Medicine, and an expert in women’s health. She specializes in bio-identical hormone replacement therapy and natural alternatives, successful menopause and age management medicine. Dr. Cabeca earned her medical degree from Nova-Southeastern University of the Health Sciences in Florida. Since completing her residency at Emory University in Atlanta, Georgia, she has maintained a private practice in Southeast Georgia.
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02:45 Sexy Younger You Summit: Dr. Cabeca co-hosts an annual summit with Robin Nielsen, a nutritionist. It brings together leaders in rejuvenate longevity medicine. You can find out more at http://sexyyoungeryou.com//. The goal is to help you reclaim sexy, competence, presence, health and vitality. At any age, we are as young as we feel.
05:16 Problematic Menopause: Emotional symptoms of perimenopause and menopause, like mood swings, fatigue, loss of drive and ambition, including sex drive, all increase stress and stress perception. Physical symptoms can be vaginal dryness, decreased orgasm, irregular cycles, ovarian cysts, abnormal pap smears, fibroids and painful menstrual cycles indicating hormonal imbalance. During transition phases like menopause, Dr. Cabeca wants to address the foundation: balance the hormones, decrease inflammation and support the adrenals. This applies to men’s hormonal transitions as well.
07:38 Therapeutic Lifestyle Changes: The initial phase is a nutritional detoxification program using her blend called Mighty Macca, an adrenal adaptogenic blend that is alkalinizing, anti-inflammatory and hormone balancing. It is also for detoxifying the liver, where our hormones are metabolized. She increases elimination: eliminating constipation, and focuses on healing the gut and getting a good night’s sleep.
08:51 Benefits of Climate Variation: In the western world, we complain of hot flashes more than Asia or less developed world. We have a natural thermometer within us. With air conditioning and heat in our homes, cars, and workplaces, we experience little temperature variability. Adapting to temperature fluctuations in our environment is therapeutic. It elevates baseline temperature thresholds. The higher the threshold, the fewer hot flashes we experience. By training our body to adapt to nature’s fluctuations, the better our body adapts to internal fluctuations. It is similar to setting our circadian rhythm with the sunrise and sunset and getting out in nature.
11:45 The Hormone Oxytocin: Dr. Cabeca discovered the power of oxytocin several years ago. She had a traumatic event in her life and her family’s life. A result was a feeling of disconnect. Chronic stress, PTSD can bring on a sense of disconnect, loneliness, numbness, and detachment. Her marriage dissolved. Other relationships dissolved. Chronic stress and pushing of adrenals, creates an imbalance in oxytocin. Cortisol is on one side of the see-saw and oxytocin is on the other side. After trauma, we often have constructive and/or destructive oxytocin-seeking behaviors: shopping, gambling, and spending.
14:31 What is Oxytocin? It is a neuropeptide, one of the communicating hormonal or neuroendocrine molecules in our body. It is primarily in the hypothalamus, but there are oxytocin receptors and the ability to produce oxytocin all over our bodies. We think of oxytocin, the hormone of love, bonding and connection, we think of the heart, where there are oxytocin receptors and the ability to produce oxytocin. Oxytocin is also released in the uterus, ovaries, placenta, and testicles and primarily in the hypothalamus of the brain. Oxytocin creates our feeling of nurturing attachment. In America, one could say, we have a pleasure deficit disorder. Oxytocin is the chief hormone released during orgasm. Dr. Cabeca has an oxytocin quiz on her website.
20:38 Orgasm and Oxytocin: Orgasm is one way to raise oxytocin levels. Orgasm is the entire experience of intimacy, not just the climax. Oxytocin is released into our plasma and begins to rise before climax. In women it lowers slightly after climax. In men, levels continue to rise after climax. Beyond the physical benefits, there are emotional and neurological benefits. It activates the parasympathetic system, reducing cortisol and improving your body’s response to pain and improving your immune system and cognitive function.
23:04 Other Ways to Elevate Oxytocin: Pregnancy, delivery increases oxytocin. Sexual contact, sexual play, vaginal distention, and the experience of romantic, maternal/paternal love increases our oxytocin. Laughter and playfulness, singing, dance, playful movement can increase oxytocin. Massage, hugging and kissing does too. Charity, giving, and generosity do as well. Partnership in family and community, being involved and part of a bigger picture than self also raises oxytocin levels. Distention of the stomach from a big meal stimulates the vagus nerve and can increase oxytocin.
25:43 Orgasmic Meditation: In her program, called Sexual CPR, she goes through levels of how to reignite and reunite not only with our partner, but with ourselves. It is a way to look through the emotion, physical and mental, relational, cultural layers that can be creating barriers to sexual desire and orgasm. Orgasmic meditation is a sexual practice with a partner, but it is not sex. It is easy and has significant physical benefits, like increasing the sense of overall vitality, energy, sex drive, reduces stress and irritability, and increases your ability to feel and know desire. It also increases your ability to experience orgasm. 25% of women do not experience climax. It is a 15 minute partner no-intercourse meditative practice outside of the bedroom. Women are undressed from the waist down. The woman lays on her back with her legs open, one leg over his. He sits on her right side and with his left hand, pulls back on the clitoral hood and gently stroke the tip of the clitoris with a large amount of thick lubrication. There are 9,000 nerve endings to the clitoris. During the 15 minute practice you are very present. The woman focuses on the touch. The man focuses on his touch with her and the very light stroke. She directs faster, harder, slower, etc. Sometimes forgotten memories are released. It creates communication, an open, trusting and safe place. The woman must simply receive pleasure, enjoyment, and sensation and communicate back what is feeling right or not. Through practice, the area becomes very sensitive. It is recommended to be done daily or twice daily, at least 3 times a week. Couples report that it reignites their sex life and marriage outside the bedroom. Dr. Cabeca recommends a book by Nicole Daedone called Slow Sex. Men with erectile dysfunction find a reconnection with orgasmic meditation. It is a good practice for all couples.
35:18 Pet Therapy to Help Reconnection: Pets are used with the elderly to bring a sense of connection. The feeling of unconditional love is a surge of oxytocin. Many cultures have lots of kisses and hugs as communication. Bringing down cortisol will help oxytocin responsiveness and production.
38:22 Oxytocin Supplementation: Dr. Cabeca’s program Sexual CPR, a 6 week program, goes through the different levels of naturally brining on oxytocin. Dr. Cabeca also prescribes oxytocin. In a child with autism, it can bring about the life-changing experience of connecting with his/her mother. She also uses it with clients with Parkinson’s, Alzheimer’s, dementia, PTSD or chronic high stress. This would go along with nutrition, detox and other foundational support. For supplementation, Dr. Cabeca uses a slow release tablet, sublinguals, or trochees (a lozenge). A dose of oxytocin when you leave the office can help you feel less stressed and more connected to your family when you get home.
40:22 Foundational Support: Detox, eliminate regularly, get quality sleep, and use nutrients that support adrenals: Mighty Maca, maca, greens, spirulina, anti-oxidants and things that naturally inhibit inflammatory cytokines, like quercetin, turmeric, resveratrol, green tea extract, and grape seed extract. Nothing beats reconnecting and having the energy of two coming together.
41:29 Dr. Cabeca’s Favorite Nutrient: Maca is her favorite. It is a root that grows above 11,000 feet in the Andes. It was used by Inka warriors before going into battle for stamina and strength. Maca is adaptogenic, meaning that it will help in either high or low adrenal state.
42:38 One Health Tip for America: Every time you have the opportunity to meet someone, pause, smile, breathe, look into their eyes, and connect.