Toni J. Brayer, M.D.

Immediately after surgery you will learn to climb stairs safely using crutches. As recovery continues and you work on flexion and extension of the new knee, you will be able to climb without crutches. With the ... continue reading  about  Are there certain exercises I can do after knee replacement to strengthen my knees to allow for climbing stairs easily?

Herpes simplex is a very common virus and can break out on any moist surface of the body. A person is contagious when there is an active herpetic lesion, and close contact must be avoided during these times. Th... continue reading  about  When should you tell a potential sex partner about herpes?

About 10 million Americans suffer from hemorrhoids, which are veins in the rectum and anus that swell and can itch and bleed. Some hemorrhoids get small blood clots (thromboses) and these are exquisitely painfu... continue reading  about  I have hemorrhoids and banding has been recommended. What is it, what are the benefits, and what is the downside?

The "bulletproof coffee" trend is a new fad, and presented as a way to gain energy, stay mentally sharp, avoid morning hunger AND lose weight. However, there is no scientific merit to the claims being made. The... continue reading  about  I heard about “bulletproof coffee” – adding butter or another fat into your morning coffee. Are there really benefits?

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?

There is no one answer to treating "menopausal depression". Restoring hormones (HRT) and SSRI antidepressants have both been shown to help with depression in mid-life women. There are other things that have bee... continue reading  about  What is the more appropriate way to treat menopausal depression, hormone replacement or SSRIs?

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."

You say you have recently lost desire so I am assuming the sexual relationship was a good one previously. Any sudden loss of libido should be evaluated medically. Hormone imbalance, depression, weight changes o... continue reading  about  I have recently lost all desire to be intimate with my partner. I sometimes feel it to be repulsive. I do find him attractive, but the thought of sex or even just kissing him makes me freak out.

A number of studies have shown that supplemental calcium is linked to both heart attack and kidney stones in some people. For this reason, women are encouraged to get their calcium from food and dairy products ... continue reading  about  I read on your site that calcium supplements are not advisable as it contributes to heart disease, but calcium ingested in food doesn't. I'm reluctant to take supplemental calcium, but have continued to take Vitamin D on the days I'm not in the sun.