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.
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?
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?
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?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
Is it safe for me to use Pro-G-Yam progesterone cream for hot flashes? I have a family history of breast cancer. Is progesterone the same as estrogen?
There are hundreds of different brands and formulations of progesterone cream. It is considered a "nutraceutical" and is not controlled or regulated by the FDA. You can purchase progesterone creams through the ... continue reading about Is it safe for me to use Pro-G-Yam progesterone cream for hot flashes? I have a family history of breast cancer. Is progesterone the same as estrogen?
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?
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?
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?
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?
Wesley S. Hilger, M.D., FACOG
Surgery Center Division
I'm 67, in menopause and on bio-identical hormones. During orgasms I have involuntary bladder releases. I urinate before bed and it still happens. My doctor said its bladder spasms that can occur with age. Is this normal? Is there anything I can do?
Fluid expulsion during female sexual arousal is not an uncommon event, as it is reported in 10-54 percent of women. The cause of this loss of fluid can occur due to female ejaculation (FE) or coital incontinenc... continue reading about I'm 67, in menopause and on bio-identical hormones. During orgasms I have involuntary bladder releases. I urinate before bed and it still happens. My doctor said its bladder spasms that can occur with age. Is this normal? Is there anything I can do?
More Resources
Healthwise Resource Library
Look up helpful health information.
Patient Information
Practical info for Sutter patients.
Tools and Quizzes
Online tools to help you make decisions about your health.