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
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?
Risa Kagan, M.D., FACOG
Alta Bates Summit Medical Center - Alta Bates Campus
I was told that my endometriosis will go away once I pass menopause. What if I decide to take hormone therapy during menopause - will that continue to aggravate the endometrial lesions?
For women who have a history of endometriosis, and they choose to go on hormone therapy, it will not stimulate endometriosis if they take continuous estrogen and progesterone. The progesterone reduces any stimu... continue reading about I was told that my endometriosis will go away once I pass menopause. What if I decide to take hormone therapy during menopause - will that continue to aggravate the endometrial lesions?
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?
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!
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
Do women experience a surge in fertility at any point in perimenopause or just before menopause?
The average age of menopause in the United States is 51 years of age. Unfortunately, the fertility potential in women declines well in advance of this time. But to what extent and how quickly? There are few, if... continue reading about Do women experience a surge in fertility at any point in perimenopause or just before menopause?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
Could the hormonal changes I'm experiencing during perimenopause be affecting my memory? I've heard a lot of references to "meno-fog."
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."
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!
Ask the Expert Team
Sutter Health
I'm a senior citizen in good health. I stopped taking estrogen two months ago. Within 10 days I started having soft, gray colored stools and gas. A recent colonoscopy test was normal. I don't eat dairy products. Could stopping estrogen be the cause?
Estrogen, or the withdrawal of estrogen, is not known to change stool or bowel habits as described. That said, I think of estrogen as all-powerful. Anything is possible. One way to know would be to go back on e... continue reading about I'm a senior citizen in good health. I stopped taking estrogen two months ago. Within 10 days I started having soft, gray colored stools and gas. A recent colonoscopy test was normal. I don't eat dairy products. Could stopping estrogen be the cause?
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