By Dixie Mills, MD, FACS
Over a million women a year use our website, and most of them are trying to learn about menopause, perimenopause or other health problems arising from hormonal imbalance. So we work hard to provide a lot of help here, and in a moment we’ll try to answer all your questions.
Quick definitions for menopause and hormonal balance
Menopause is just a point in time — the date on which you haven’t had a menstrual period for a year. Perimenopause is the period of hormonal fluctuation that leads up to menopause; it can last from five to 15 years or longer. Early menopause does occur for a tiny fraction of women, but the term is mostly used by women — not practitioners — when symptoms occur much earlier than “normal.” Medical menopause is menopause brought about by medical treatment — typically hysterectomy or cancer treatment — and an incredible 25% of women enter menopause this way.
Hormonal balance is our normal state. When we have menopausal symptoms, we are suffering from hormonal imbalance — an abnormal state. About 80% of women today experience symptoms of hormonal imbalance — more than ever before — because of the extraordinary demands made on their bodies and the inadequate support provided. Fortunately, nearly all women can find relief from the symptoms of perimenopause and menopause by restoring that balance — naturally and without drugs. And we’re here to show you how.
Why do women come to us with so many unanswered questions? Why do so many women feel dissatisfied with the answers they’re getting from conventional medicine?
The simple answer is that conventional medicine breaks everything down into separate parts that can be separately controlled — and that’s not how the female body works. As you explore our website and find the answers you need, keep in mind that every aspect of your life affects your health — and that no symptom or health problem can be viewed (or controlled) in isolation.
So here are the resources for you in this section of our website. Read on for the answers you seek and then give us a call if you would like additional guidance.
- Perimenopause — the beginning of hormonal change. Most women are surprised to learn how early perimenopause can start — often in your 30’s — and how many symptoms it causes. Learn more about the physiological changes in your body as you start your transformation.
- Signs and symptoms of perimenopause and menopause. A look at the fundamental symptoms of hormonal imbalance, why they emerge during menopause and perimenopause, and what you can do to get natural relief.
- Estrogen levels and menopause — is progesterone cream the answer? Dr. John Lee argued that perimenopausal symptoms are caused not by a lack of estrogen but a lack of progesterone. This simplistic idea has led many to claim that progesterone alone will remedy the symptoms of perimenopause. We sort the truth out from the fiction.
- Birth control pills in perimenopause. Some of us have been on the Pill for 30 years or more and wonder when to get off. Others are being told to start BCP’s now to relieve perimenopause symptoms. What gets lost in this merry-go-round is that the Pill contains hormones just like HRT does, and sooner or later we all have to get off. Let’s review the alternatives you may want to consider.
- Help for hot flashes and night sweats. A look at the basics of hot flashes and night sweats, and how you can decrease their frequency and severity with natural methods that support hormonal balance from within.
- Soy for menopausal symptoms. An outline of what we’ve observed about soy from over 20 years of clinical experience, when and why we recommend it to women in perimenopause and menopause, why it works for many but not for everyone and how to determine for yourself whether to give it a try.
- Black cohosh for menopausal symptoms. If you’ve been thinking of giving black cohosh a try but have some reservations, here’s a synopsis on its use for menopausal symptoms; research on its underlying mechanisms of action; precautions, what to look for, and typical dosages; and why it works best when laid overtop a core foundation of dietary, lifestyle and gentle endocrine support measures.
- Vaginal dryness — you have options. Vaginal dryness ranks as one of the top-ten problems experienced by women in menopause. But even women on conventional forms of HRT report that their vaginal dryness persists. Here is the Women to Women approach to resolving this bothersome symptom of hormonal imbalance.
- Treatments for vaginal dryness — natural estrogen products and more. Here’s an overview of the range of bioidentical estrogen options available by prescription, as well as non-hormonal products that can help provide relief from vaginal dryness. We encourage you to give these products a try until you find one or a combination that works for you.
- Conditions commonly associated with vaginal dryness. Information and advice on conditions that may underlie a woman’s vaginal dryness: from atrophic vaginal changes and atrophic vaginitis to lichen sclerosis and vulvodynia, it’s important to identify the cause of your vaginal dryness and discomfort and get the treatment you need.
- Low sex drive in women — causes and solutions. Almost every woman will experience changes in her libido and sexual response during perimenopause. Here we look into the physical (and beyond) to explain what’s happening to you and why — and what you can do to feel like yourself again.
- Rekindling desire — the soul of your libido. Aside from the physical changes that can impact a woman’s libido as the years go by, there are less tangible, psychosocial issues that can thwart our sexual response. This article examines how to deconstruct the inner beliefs about beauty and body image that no longer serve you, reframe personal power in relation to your sexual identity, and rekindle the fire in your sexual relationship.
- Menopause — ending the confusion. Conventional medicine and the sensational media have created so much confusion among women about menopause. It’s helpful to shed these myths and mistruths as you begin to take control of your health.
- Menopause/FSH tests: what they can and cannot do. Unfortunately, those home hormone tests for FSH levels don’t prove whether or not you’re in menopause. Your doctor may not give you great answers, either. Here’s how to tell what’s going on.
- What I love about menopause. Start with this article to give yourself a realistic picture of what lies before you. The truth is, you can feel and look better than you ever imagined, even if your symptoms right now are terrible. Here’s how.
- Life after menopause. Although most of our website is devoted to women’s health in the years before and leading into menopause, this article is about the years post-menopause and how to make this the best time of your life.
- Post-menopausal bleeding — what does it mean? Up to 20–30% of women experience spotting or what seems like a period post-menopause. This can happen for a number of reasons, and knowing the cause can be critical to your health. Fortunately, post-menopausal bleeding is highly treatable — but the best protection is information. Here’s what you need to know.
- Hyperplasia of the uterus. Here’s a description of why and how a uterine exam and endometrial biopsy are performed, how to interpret your results, and an overview of your options in follow-up. Knowing what to expect in advance will provide you with the information and confidence you need to make good decisions for your long-term health.
- Talking about menopause with your doctor. Though “menopause” is frequently the subject of media attention and conversation these days, many women in perimenopause and menopause have difficulty talking with their doctors about this important transition. Here’s how to open the door on the subject, set the tone for a positive, mutually respectful doctor–patient relationship, and get the help you want and deserve.
- FAQ’s on menopause, perimenopause, and post-menopause. Many of our patients’ and readers’ questions on menopause have prompted the articles we publish on this website. But no matter how many questions we hear, there will always be more to explore. Here are a few more that you, too, may find yourself asking.
Our website offers help in three ways:
- Articles in women’s health from the perspective of our practitioners.
- A personalized, at-home program that provides the foundation of health we recommend for every woman. To learn more, call us at 1-800-798-7902.
- Clinical care at our medical practice in Yarmouth, Maine.
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