Featured Articles
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.
The Latest Word on Hormone Therapy
Our experts discuss updated safety information and new formulations that might give you relief.
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
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?
Ask the Expert Team
Sutter Health
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."
Susan Maayah, M.D.
Palo Alto Medical Foundation
I'm 44 and am having a lot of highs and lows with energy, not sleeping well, but without hot flashes or loss of menses. My mother had a hysterectomy at 44, so her experience with menopause was cut short. Is this perimenopause or just hormone fluctuations?
Fluctuation in hormones and metabolism shifts are very common in women in their 40s, which occurs before you are perimenopausal. This is the most likely cause, but I recommend you make an appointment with your ... continue reading about I'm 44 and am having a lot of highs and lows with energy, not sleeping well, but without hot flashes or loss of menses. My mother had a hysterectomy at 44, so her experience with menopause was cut short. Is this perimenopause or just hormone fluctuations?
Ask the Expert Team
Sutter Health
I had surgery to have my uterus taken out because of a large fibroid. I don't have periods anymore, and have not had any since my surgery in 2011. How will I know when I am actually in menopause? I turned 50 in May.
The experience of going through menopause is extremely variable. Some women breeze through it with little or no troubling symptoms, others are made miserable by hot flashes, sleep disturbance, heavy menstrual p... continue reading about I had surgery to have my uterus taken out because of a large fibroid. I don't have periods anymore, and have not had any since my surgery in 2011. How will I know when I am actually in menopause? I turned 50 in May.
Risa Kagan, M.D., FACOG
Alta Bates Summit Medical Center - Alta Bates Campus
I'm 57 years old and going through menopause. Last week I experienced three days of bleeding. It was a light flow, but at my age I'm concerned. I'm not on any type of medication, not even aspirin. Is this something out of the normal?
This may or may not be abnormal as one's hormones can fluctuate in the perimenopausal years. If it has been over a year since your last normal menses, then this is called postmenopausal bleeding and needs immed... continue reading about I'm 57 years old and going through menopause. Last week I experienced three days of bleeding. It was a light flow, but at my age I'm concerned. I'm not on any type of medication, not even aspirin. Is this something out of the normal?
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?
Ask the Expert Team
Sutter Health
Do women experience a surge in fertility at any point in perimenopause or just before menopause?
The average age of menopause in the United States is 51 years of age. Unfortunately, the fertility potential in women declines well in advance of this time. But to what extent and how quickly? There are few, if... continue reading about Do women experience a surge in fertility at any point in perimenopause or just before menopause?
Susan Maayah, M.D.
Palo Alto Medical Foundation
Since I went through menopause, I am getting more UTIs. Is this normal? Why does it happen?
Frequent urinary tract infections (UTI) after menopause are common due to lack of the estrogen hormone which keeps the vaginal and periurethral tissues healthy and able to withstand most bacteria that enters in... continue reading about Since I went through menopause, I am getting more UTIs. Is this normal? Why does it happen?
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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