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
Nobl Barazangi, M.D., Ph.D.
Sutter Pacific Medical Foundation
What are the effects of hormone replacement therapy on a person who has a history of lacunar stroke?
Hormone replacement therapy (HRT) has been shown to increase the risk of ischemic stroke (lacunar stroke is a subtype of ischemic stroke). Although the absolute risk of complications such as stroke is relativel... continue reading about What are the effects of hormone replacement therapy on a person who has a history of lacunar stroke?
Susan Maayah, M.D.
Palo Alto Medical Foundation
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?
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?
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?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
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?
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?
Susan Maayah, M.D.
Palo Alto Medical Foundation
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?
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?
Wesley S. Hilger, M.D., FACOG
Surgery Center Division
I underwent a total hysterectomy in February of last year. Is it normal that my stomach still feels swollen? I'm using topical Evamist (two sprays each day) that my doctor recommended.
After undergoing a hysterectomy where the ovaries are removed, a premenopausal woman may experience menopausal symptoms. These menopausal symptoms may include hot flashes which can have a detrimental effect on ... continue reading about I underwent a total hysterectomy in February of last year. Is it normal that my stomach still feels swollen? I'm using topical Evamist (two sprays each day) that my doctor recommended.
Jane Varner, M.D.
Palo Alto Medical Foundation
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?
Risa Kagan, M.D., FACOG
Alta Bates Summit Medical Center - Alta Bates Campus
I'm 57, postmenopausal, and have been on HRT for a few years. My OB/GYN took me off hormones a couple months ago. My hot flashes are through the roof and making life miserable. I'm also having a lot of depression and feel like crying all the time. Help!
Clinical studies have shown that about half of women who try to go off hormones are so symptomatic that they need to go back on. Many can take a lower dose than they were on before, and then gradually taper off... continue reading about I'm 57, postmenopausal, and have been on HRT for a few years. My OB/GYN took me off hormones a couple months ago. My hot flashes are through the roof and making life miserable. I'm also having a lot of depression and feel like crying all the time. Help!
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