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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
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.
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
Is it safe for me to use Pro-G-Yam progesterone cream for hot flashes? I have a family history of breast cancer. Is progesterone the same as estrogen?
There are hundreds of different brands and formulations of progesterone cream. It is considered a "nutraceutical" and is not controlled or regulated by the FDA. You can purchase progesterone creams through the ... continue reading about Is it safe for me to use Pro-G-Yam progesterone cream for hot flashes? I have a family history of breast cancer. Is progesterone the same as estrogen?
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.
Risa Kagan, M.D., FACOG
Alta Bates Summit Medical Center - Alta Bates Campus
I'm 63 and have had hot flashes for the last 20 years. I still have all my 'parts' and don't take hormones. I suffer from severe depression and take anti-depressants. Is there anything I can do? Can this be thyroid related? Should I move to Alaska?
It is unusual for hot flashes to persist with this severity for 20 years. Older women can still have them but they usually get less intense. Many anti-depressants are being used as an alternative to estrogen fo... continue reading about I'm 63 and have had hot flashes for the last 20 years. I still have all my 'parts' and don't take hormones. I suffer from severe depression and take anti-depressants. Is there anything I can do? Can this be thyroid related? Should I move to Alaska?
Ravin Agah, M.D., Ph.D.
Palo Alto Medical Foundation
I've been experiencing a burning sensation on my tongue for two months. It only involves one inch near the tip. There is no redness, lesions or broken skin, just the burning, which causes my mouth to water. I've heard this may be a menopausal symptom.
Burning tongue syndrome is a very common symptom which has been seen in some patients with menopausal symptoms.This also could be a manifestation of other diseases such as a B12 deficiency or an absorption prob... continue reading about I've been experiencing a burning sensation on my tongue for two months. It only involves one inch near the tip. There is no redness, lesions or broken skin, just the burning, which causes my mouth to water. I've heard this may be a menopausal symptom.
Arfan Din, D.O.
Sutter Medical Foundation
I am concerned because my blood sugar is fluctuating between 110 and 117, over 90 days. I have good eating habits and control my weight, but it's been harder after menopause. Should I be on a sugar-stabilizing medication such as Metformin?
As men and women age, it is very clear that metabolism changes. Part of this may be due to hormonal changes, especially in women after menopause. This may be genetic or associated with a decreasing level of exe... continue reading about I am concerned because my blood sugar is fluctuating between 110 and 117, over 90 days. I have good eating habits and control my weight, but it's been harder after menopause. Should I be on a sugar-stabilizing medication such as Metformin?
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?
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?
Ask the Expert Team
Sutter Health
My FSH level is 77. Can menopause be a reason that my knee joints hurt? I don't have any sports injury. Will it resolve in time?
High FSH does not directly cause joint pain or the inflammatory joint disease known as arthritis. If the pain persists and is associated with swelling, an X-ray or MRI may be appropriate. Non-steroidal anti-inf... continue reading about My FSH level is 77. Can menopause be a reason that my knee joints hurt? I don't have any sports injury. Will it resolve in time?
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