Menopause Management

Menopause

Menopause is a unique transition in a woman’s life and defined by the absence of a menstrual period for one year. The time leading up to that is called the Perimenopause. This can often last several years and come with bothersome symptoms for women such as hot flashes, night sweats, irritability, mood swings, loss of concentration, and erratic menstrual cycles. Awareness of these changes and having a proper examination and evaluation with a menopause specialist is the first step to determine what treatments and lifestyle changes would be best for you. Although many nonprescription remedies are available as well as prescription medications some have limited or no scientific evidence that they actually work. And sometimes it is necessary to try one and then another to find what is right for you.

Hormone Therapy is one of the most effective medications for the treatment of vasomotor symptoms (hot flashes, night sweats). Many types of hormone therapy are available. Currently the Bioidentical Hormones, a term which refers to hormones similar to or identical to what your body was producing, are the safest and most commonly prescribed. They are available in gels, creams, patches, and oral capsules. Many FDA approved Bioidentical hormone products are available now at the conventional pharmacies or some patients prefer to use the custom compounded products from a compounding pharmacy. There are of course advantages and disadvantages to the custom compounded products and we recommend a more detailed discussion with your provider about this. More importantly, understanding all the possible benefits, risks, and side effects to hormone therapy is necessary before starting hormone therapy as this may or may not be the safest and best treatment for you.

It is best to have a complete evaluation including a review of your medical history, an examination and bloodwork before and then review the treatment options available with the doctor. There is no one treatment for all patients. Reviewing and understanding all of the options and choosing what is best for you is the key. We are here to help and guide you thru this process.

Osteoporosis Management

Osteoporosis or osteopenia occurs in about 44 million Americans, resulting in 1.5 million fragility fractures per year. The consequences of these fractures include pain, disability, depression, loss of independence, and increased mortality.

Osteoporosis is a silent disease that causes no symptoms until a fracture occurs. Any fragility fracture greatly increases the risk of future fractures. Most patients with osteoporosis are not being diagnosed or treated. Even those with previous fractures, who are at extremely high risk of future fractures, are often not being treated. It is preferable to diagnose osteoporosis by bone density testing of high risk individuals before the first fracture occurs. If osteoporosis or low bone density is identified, evaluation for contributing factors should be considered.