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Hot Flashes: What You Need to Know
Nearly all women get hot flashes during menopause. Is there anything you can do about them? Experts in the Sutter Health network weigh in.
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The Latest Word on Hormone Therapy
Our experts discuss updated safety information and new formulations that might give you relief.
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Menopause Mood Swings
Your dramatic mood swings in menopause are real, and likely due to hormonal fluctuations. Learn what to do about them.
Ask an Expert
Wesley S. Hilger, M.D., FACOG
Surgery Center Division
I underwent a total hysterectomy in February of last year. Is it normal that my stomach still feels swollen? I'm using topical Evamist (two sprays each day) that my doctor recommended.
After undergoing a hysterectomy where the ovaries are removed, a premenopausal woman may experience menopausal symptoms. These menopausal symptoms may include hot flashes which can have a detrimental effect on ... continue reading about I underwent a total hysterectomy in February of last year. Is it normal that my stomach still feels swollen? I'm using topical Evamist (two sprays each day) that my doctor recommended.
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
Could the hormonal changes I'm experiencing during perimenopause be affecting my memory? I've heard a lot of references to "meno-fog."
Almost 2/3 of women complain of memory impairment during menopause and after childbirth when hormones are in flux. This "brain fog" is common and likely is influenced by estrogen. We do have estrogen receptors ... continue reading about Could the hormonal changes I'm experiencing during perimenopause be affecting my memory? I've heard a lot of references to "meno-fog."
Ask the Expert Team
Sutter Health
I'm a 54-year-old African-American woman (menopausal) who is experiencing facial discoloration, especially around my mouth and chin. My complexion is normally brown/caramel. Since menopause I have light patches of skin in this area. What can I do?
It is not unusual for women to develop skin color changes around menopause. The skin is sensitive to hormone changes of the body at this time of life, in a similar way that the skin changes during pregnancy or ... continue reading about I'm a 54-year-old African-American woman (menopausal) who is experiencing facial discoloration, especially around my mouth and chin. My complexion is normally brown/caramel. Since menopause I have light patches of skin in this area. What can I do?
Ask the Expert Team
Sutter Health
I'm a woman (60) who had not had sex for 10 years. I recently decided to start again, but intercourse was very painful. I have tried several times, but with the same results. What causes this pain and what can I do that will help?
First of all, you are not alone. Millions of women experience pain during intercourse, but most are too shy or embarrassed to bring it up. I congratulate you for raising the question! Intercourse is a wonderful... continue reading about I'm a woman (60) who had not had sex for 10 years. I recently decided to start again, but intercourse was very painful. I have tried several times, but with the same results. What causes this pain and what can I do that will help?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
What is the more appropriate way to treat menopausal depression, hormone replacement or SSRIs?
There is no one answer to treating "menopausal depression". Restoring hormones (HRT) and SSRI antidepressants have both been shown to help with depression in mid-life women. There are other things that have bee... continue reading about What is the more appropriate way to treat menopausal depression, hormone replacement or SSRIs?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
Why do some people lose height as they age? How much loss is too much?
After age 40, the average person loses about 1/2" of their height per decade. It happens because of gravity and wear and tear on bones, muscles and joints. Think of your skeleton as being made up of your ankles... continue reading about Why do some people lose height as they age? How much loss is too much?
Ask the Expert Team
Sutter Health
Now that I'm 50+, I've been getting severe headaches with my periods, and it also seems like my nasal allergy symptoms are worse at those times. Is this just a coincidence, or is this associated with perimenopause?
Yes. Your symptoms could well be associated with perimenopause. The World Health Organization has defined perimenopause as the time period 2 to 8 years prior to menopause as well as the year after cessation of ... continue reading about Now that I'm 50+, I've been getting severe headaches with my periods, and it also seems like my nasal allergy symptoms are worse at those times. Is this just a coincidence, or is this associated with perimenopause?
Risa Kagan, M.D., FACOG
Alta Bates Summit Medical Center - Alta Bates Campus
I was told that my endometriosis will go away once I pass menopause. What if I decide to take hormone therapy during menopause - will that continue to aggravate the endometrial lesions?
For women who have a history of endometriosis, and they choose to go on hormone therapy, it will not stimulate endometriosis if they take continuous estrogen and progesterone. The progesterone reduces any stimu... continue reading about I was told that my endometriosis will go away once I pass menopause. What if I decide to take hormone therapy during menopause - will that continue to aggravate the endometrial lesions?
Susan Maayah, M.D.
Palo Alto Medical Foundation
I'm 53 and in menopause. Since perimenopause, my melasma has returned. I had it my 30s due to birth control pills. I'm using TriLuma and am fanatical about sunscreen. I'm Asian and dermatologists have told me laser or other procedures might worsen it.
Melasma is typically caused in women by exposure to estrogens. For this reason, any hormone replacement you are taking that contains estrogen can contribute, so I would refrain from using estrogens. Also, the h... continue reading about I'm 53 and in menopause. Since perimenopause, my melasma has returned. I had it my 30s due to birth control pills. I'm using TriLuma and am fanatical about sunscreen. I'm Asian and dermatologists have told me laser or other procedures might worsen it.
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