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
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 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?
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
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?
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?
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?
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?
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?
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?
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