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
Susan Maayah, M.D.
Mills-Peninsula Medical Center
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?
Susan Maayah, M.D.
Mills-Peninsula Medical Center
Does the clitoris disappear with age? After 70?
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?
Jane Varner, M.D.
Palo Alto Foundation Medical Group
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?
Jane Varner, M.D.
Palo Alto Foundation Medical Group
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?
Susan Maayah, M.D.
Mills-Peninsula Medical Center
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?
Deborah Kurzrock, R.D.
Mills-Peninsula Medical Center
I'm a very active pre-menopausal 50-year-old who eats right and works out four to six times a week. Why in the world can I not lose my belly cellulite and build more muscle? I'm ready to quit everything and just get fat and eat junk food!
Don't give up! As many women approach menopause they find themselves experiencing unexplained weight gain, especially around the waist and hip areas, despite their best efforts to watch what they eat and to inc... continue reading about I'm a very active pre-menopausal 50-year-old who eats right and works out four to six times a week. Why in the world can I not lose my belly cellulite and build more muscle? I'm ready to quit everything and just get fat and eat junk food!
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?
Toni J. Brayer, M.D.
Sutter West Bay Medical Group
I'm 53 and take Mimvey for hot flashes and sleeplessness. I've tried to stop but the symptoms return. Is there a "hump" to get over before they stop? How long is HRT recommended? Also, are my electrical and heart problems due to hormones? Can HRT help?
About 15-20 percent of women continue to have menopausal symptoms long after menopause, although they should diminish in intensity with time. There have been many research studies on non-estrogen treatments for... continue reading about I'm 53 and take Mimvey for hot flashes and sleeplessness. I've tried to stop but the symptoms return. Is there a "hump" to get over before they stop? How long is HRT recommended? Also, are my electrical and heart problems due to hormones? Can HRT help?
Toni J. Brayer, M.D.
Sutter West Bay Medical Group
How does menopause affect the joints and muscles in your body?
Many women experience joint and muscle pain and stiffness around the time of menopause that they hadn't experienced before. Because there are estrogen receptors all over the body, including the joints, declinin... continue reading about How does menopause affect the joints and muscles in your body?
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