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.

Women commonly believe that after a certain age they cannot conceive because they are too old. That is not entirely true. As a woman ages her fertility declines. A 45-year-old woman is less likely to conceive t... continue reading  about  I am 51 years old. What is my chance of still getting pregnant, and how should I handle birth control as I move through menopause?

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?

The clitoris never actually disappears, but it can become smaller over time after the loss of circulating female hormones with menopause. This is part of a normal condition with aging called urogenital atrophy.... continue reading  about  Does the clitoris disappear with age? After 70?

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?

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.

Pregnancy is very unlikely at this age and stage of minimal ovarian function. Ovulation is so rare and the egg quality is probably so poor that fertilization would not likely result in pregnancy. However, this ... continue reading  about  I'm a women in her 50s who is going through perimenopause. I have only had one menstrual period this year. Is there still a possibility that I could get pregnant?

Menopause can cause exacerbation of different symptoms for different women. Though there is no direct medical connection with vertigo and menopause, it is possible that there is some effect of hormonal fluctuat... continue reading  about  Is vertigo tied to menopause? Also, I'm taking 1000 mcg of biotin for my hair and nails and noticing that I have more intense hot flashes. Does biotin increase hot flashes?