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Posts Tagged ‘menopause’

Breast discomfort, bloating, acne, and cramps are all symptoms associated with perimenopause, I’m afraid. If your periods are irregular but still happening, what’s going on is that your ovaries are not quite done producing hormones, but the fine-tuned system of regular ovulation is winding down. Some chaotic and unpredictable hormone shifts result, contributing to the [...]

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Great Expectations

A woman born in 1850 could expect to live just past her 40th birthday. A woman born in 1900 was likely to make it to 50—assuming she survived the flu epidemic of 1918 and other hazards. I looked up this life-expectancy data to help me understand why we have so little shared understanding of how [...]

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I was struck by this sentence in a report on research with women aged 45 to 65 experiencing menopause: “As a generation, they have yet to develop a voice for this situation, and many remain silent rather than proactively seeing help.” Really? We are the generation who, in high school, bought Our Bodies, Ourselves to [...]

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One Test Where Grades Don’t Count

Many of the women I see in my office would like a black and white answer: Where, exactly, are they on the path to menopause? Unfortunately, I can’t really give them a solid answer, and here’s why. Perimenopause—that period (no pun intended!) between regular menstruation and menopause—isn’t a steady progression. It’s more like two steps [...]

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Now that our new site has been up for a while, we’ve met and made friends with others in online communities serving midlife women and sharing information about sexual health. We’d love for you to meet some of our new friends: The amazing women at Vibrant Nation invited me to participate in their — really [...]

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Isn’t it amazing how quickly things can change? You say you were tested as being mid-menopause. Blood work is accurate at assessing ovarian function on the day you’re tested, but it is miserable in predicting what may happen in the next weeks or months. An FSH level may come back 40 (suggesting menopause) on one day, but you may ovulate [...]

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Fortunately, the vagina is self-cleansing; it requires very little attention. The cells on the surface of the vagina naturally regenerate or ‘turn over’ on an ongoing basis. After intercourse, semen deposited in the vagina coagulates and then slowly liquefies again and is slowly secreted. The top of the vagina is called the vaginal cuff when [...]

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Oh, where do I begin? Perimenopause can be a pretty tough transition for many women. It is not only possible but probable that those symptoms are related. Patients with these complaints get a one-hour appointment in my practice to review the signs and symptoms that accompany this transition. Riding it out is one option. Above all, [...]

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The most important thing is usually to re-estrogenize the vagina—with localized, not systemic estrogen. I haven’t seen a single oncologist not agree to allow breast cancer patients to use this. There are a couple of really low-dose estrogen products to use in the vagina; the estrogen is not absorbed outside of that area. Vulvodynia occasionally [...]

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Weights in hand, what I need is time and focus and coaching. And ladies, there is an App for that. That is, if you use an iPhone or iTouch, you can download Kegel coaching applications for anywhere from free to about $5. I’ve found three. They’re very different, and all helpful.

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