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.
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Ask the Expert Team
Sutter Health
I'm 54, eat well and exercise five times per week. Yet my BMI is 27, which translates as obese. Is a BMI of 27 really that indicative of my overall health?
First of all, congratulations on getting all of that wonderful exercise! Exercise is so good for your physical AND mental health. Don't go calling yourself obese just yet. Technically, a BMI of 27 classifies yo... continue reading about I'm 54, eat well and exercise five times per week. Yet my BMI is 27, which translates as obese. Is a BMI of 27 really that indicative of my overall health?
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?
Ask the Expert Team
Sutter Health
I've always been very regular, but now in menopause I'm constipated. I eat whole grains, fruits and vegetables, drink a lot of water. I'm normal weight and I exercise. I eat prunes and take Benefiber, but I still have small movements with lots of gas.
Constipation is a condition (not a disease) where a person passes small amounts of hard, dry stool, usually fewer than three times a week. The person may also have a feeling of incomplete elimination of stool. ... continue reading about I've always been very regular, but now in menopause I'm constipated. I eat whole grains, fruits and vegetables, drink a lot of water. I'm normal weight and I exercise. I eat prunes and take Benefiber, but I still have small movements with lots of gas.
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?
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'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
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?
Heidi Wittenberg, M.D., M.S., FPMRS
California Pacific Medical Center
I had a partial hysterectomy 18 years ago (my ovaries were not removed). Lately I've been having pain and cramping, so recently had x-rays and an ultrasound. The doctor could not find my ovaries. Can ovaries just disappear on their own?
If ovaries are not removed surgically, they are still present. After menopause, our ovaries do shrink. Pre-menopause ovaries are 3-4cm, but after menopause they can be 0.5cm-1.0cm. The older we get, the smaller... continue reading about I had a partial hysterectomy 18 years ago (my ovaries were not removed). Lately I've been having pain and cramping, so recently had x-rays and an ultrasound. The doctor could not find my ovaries. Can ovaries just disappear on their own?
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.
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