# S4: Episode 59-The Mani-Pause:When Menopause Isn't a Choice: Ana Roxana's Journey Through Medical Menopause and Reclaiming Power Page: https://stenobird.com/podcast/mindfully-disruptive-7092517/s4-episode-59-the-mani-pause-when-menopause-isn-t-a-choice-ana-roxana-s-journey-through-medical-menopause-and-reclaiming-power Text version: https://stenobird.com/podcast/mindfully-disruptive-7092517/s4-episode-59-the-mani-pause-when-menopause-isn-t-a-choice-ana-roxana-s-journey-through-medical-menopause-and-reclaiming-power.md Podcast: [Mindfully Disruptive](https://stenobird.com/podcast/mindfully-disruptive-7092517) Published: 2026-01-19T13:00:00+00:00 Episode link: https://mindfullydisruptivethepodcast.transistor.fm/59 Audio file: https://media.transistor.fm/6e62d6f3/4e1522be.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/mindfully-disruptive-7092517/episodes/s4-episode-59-the-mani-pause-when-menopause-isn-t-a-choice-ana-roxana-s-journey-through-medical-menopause-and-reclaiming-power Duration seconds: 4140 ## Resource When Menopause Isn't a Choice: Ana Roxana's Journey Through Medical Menopause and Reclaiming Power Some women enter menopause gradually. Anna Roxana Lia Chaga was thrust into it—medically induced at a young age during breast cancer treatment. In this raw and powerful ManiPause conversation, Patricia and Marina welcome Ana Roxana—power systems engineer, artist, holistic practitioner, and Splenic Manifestor—for a deeply personal dialogue about navigating menopause when it's not on your timeline, not your choice, and compounded by cancer treatment. Ana shares what most people don't talk about: the brutal reality of anti-hormonal therapy side effects, the loss of identity and sexuality, the fear that comes with a cancer diagnosis, and the long journey back to reclaiming your body, your power, and your sexual health. This conversation goes deep: • Medically-induced menopause during breast cancer treatment (and how it's different from natural menopause) • Managing severe side effects from anti-hormonal therapy while trying to live your life • The grief of losing your body's natural rhythm before you were ready • Navigating perimenopause AFTER medical menopause (yes, that's a thing) • Embracing her identity as a Splenic Manifestor and what that means for healing • Reclaiming sexual health when your body has been through trauma • The Breast Cancer Confidence Project and supporting women through the journey • Holistic practices that supported her healing beyond Western medicine • Trusting yourself and not letting fear dictate your decisions Ana's message is clear: Don't let fear run your life. Trust yourself. Whether you've been through medical menopause, natural menopause, cancer treatment, or are supporting someone who has—this conversation will remind you that reclaiming you… ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/mindfully-disruptive-7092517/episodes/s4-episode-59-the-mani-pause-when-menopause-isn-t-a-choice-ana-roxana-s-journey-through-medical-menopause-and-reclaiming-power/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/mindfully-disruptive-7092517/s4-episode-59-the-mani-pause-when-menopause-isn-t-a-choice-ana-roxana-s-journey-through-medical-menopause-and-reclaiming-power.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.