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
I'm 53 and in menopause. Since perimenopause, my melasma has returned. I had it my 30s due to birth control pills. I'm using TriLuma and am fanatical about sunscreen. I'm Asian and dermatologists have told me laser or other procedures might worsen it.
Melasma is typically caused in women by exposure to estrogens. For this reason, any hormone replacement you are taking that contains estrogen can contribute, so I would refrain from using estrogens. Also, the h... continue reading about I'm 53 and in menopause. Since perimenopause, my melasma has returned. I had it my 30s due to birth control pills. I'm using TriLuma and am fanatical about sunscreen. I'm Asian and dermatologists have told me laser or other procedures might worsen it.
Ask the Expert Team
Sutter Health
I had surgery to have my uterus taken out because of a large fibroid. I don't have periods anymore, and have not had any since my surgery in 2011. How will I know when I am actually in menopause? I turned 50 in May.
The experience of going through menopause is extremely variable. Some women breeze through it with little or no troubling symptoms, others are made miserable by hot flashes, sleep disturbance, heavy menstrual p... continue reading about I had surgery to have my uterus taken out because of a large fibroid. I don't have periods anymore, and have not had any since my surgery in 2011. How will I know when I am actually in menopause? I turned 50 in May.
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?
Jane Varner, M.D.
Palo Alto Medical Foundation
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?
Wesley S. Hilger, M.D., FACOG
Surgery Center Division
Does menopause cause increased urinary tract infections? It seems like I'm getting more of them now that I'm older.
Women are most at risk for urinary tract infections after menopause because of the changes in hormones that occur after menopause. The tissues of the vagina and outer urethra are affected by the lack of estroge... continue reading about Does menopause cause increased urinary tract infections? It seems like I'm getting more of them now that I'm older.
Risa Kagan, M.D., FACOG
Alta Bates Summit Medical Center - Alta Bates Campus
I'm 57 years old and going through menopause. Last week I experienced three days of bleeding. It was a light flow, but at my age I'm concerned. I'm not on any type of medication, not even aspirin. Is this something out of the normal?
This may or may not be abnormal as one's hormones can fluctuate in the perimenopausal years. If it has been over a year since your last normal menses, then this is called postmenopausal bleeding and needs immed... continue reading about I'm 57 years old and going through menopause. Last week I experienced three days of bleeding. It was a light flow, but at my age I'm concerned. I'm not on any type of medication, not even aspirin. Is this something out of the normal?
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?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
Why do some people lose height as they age? How much loss is too much?
After age 40, the average person loses about 1/2" of their height per decade. It happens because of gravity and wear and tear on bones, muscles and joints. Think of your skeleton as being made up of your ankles... continue reading about Why do some people lose height as they age? How much loss is too much?
Ask the Expert Team
Sutter Health
I've always been very regular, but now in menopause I'm constipated. I eat whole grains, fruits and vegetables, drink a lot of water. I'm normal weight and I exercise. I eat prunes and take Benefiber, but I still have small movements with lots of gas.
Constipation is a condition (not a disease) where a person passes small amounts of hard, dry stool, usually fewer than three times a week. The person may also have a feeling of incomplete elimination of stool. ... continue reading about I've always been very regular, but now in menopause I'm constipated. I eat whole grains, fruits and vegetables, drink a lot of water. I'm normal weight and I exercise. I eat prunes and take Benefiber, but I still have small movements with lots of gas.
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