Symptoms of Menopause: When Sex Hurts

menopause-when-sex-hurts

At the time of menopause, women who had previously enjoyed sex may develop vaginal dryness and pain with intercourse. They may also experience difficulty achieving orgasm. A milder version of this can occur in perimenopause, the time interval that precedes menopause. Perimenopause can last for three months or as long as ten years before menopause. The age at which natural menopause occurs tends to be similar to that of your mother.

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Flourless Brownie Recipe

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Ingredients:

4 oz unsweetened chocolate, chopped

½ cup honey

1/3 cup creamy roasted almond butter (unsweetened)

1 medium ripe avocado, pitted

2 large eggs, room temperature

1 TBSP coconut sugar

1 tsp baking soda

½ tsp sea salt

 

Preheat the oven to 350. Line an 8-inch-by-8-inch baking dish with parchment paper. In a small pot over very low heat, combine the chocolate, honey, and almond butter. Stir constantly until melted and smooth. Transfer to a food processor fitted with the steel blade. Scoop the avocado flesh into the food processor and add the remaining ingredients. Process until creamy and very smooth, about 1 minute. Transfer the batter to the parchment-lined pan and spread it out evenly. Bake for 25-30 minutes until a toothpick inserted comes out mostly clean or with a few moist crumbs attached. Cool completely, then refrigerate for 2 hours before cutting into 16 squares. Store the brownies in the refrigerator or freezer in an airtight container.

The Silent Connection Between Estrogen and Osteoporosis

Dr Marina Johnson Discusses Osteoporosis and Estrogen Deficiency

 

After menopause without the use of estrogen, a woman can lose up to 20% of her bone mass. This increases her risk for osteoporosis leading to loss of height, hip fractures, chronic pain, and disability. Of women who suffer hip fractures, 24 percent die of complications within a year of the injury. Osteoporosis of the spine leads to the familiar “dowager’s hump.” A dowager’s hump is a prominence on the back resulting from collapse of the spine from spontaneous vertebral fractures. When it’s severe, the woman is totally bent over and cannot stand up straight. It is tragic to see a woman suffering from something that could have been prevented.

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Joan’s Ordeal: What Drives a Physician?

When I was first starting my medical practice, menopausal problems were not taken very seriously. Hot flashes and premenstrual syndrome (PMS) were the source of a lot of jokes. Well, it isn’t funny when you feel awful and your life is falling apart. I can’t tell you how many times I’ve had women apologize for “wasting my time” with their complaints or tell me, “Thank you for listening to me.” I would always assure them that hearing their symptoms is essential for my finding the correct solution for their problem.

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Symptoms of Menopause: Spinning Out of Control

Dr. Johnson describes symptoms of menopause

A very few lucky women sail through menopause with minimal symptoms. They have usually been very healthy prior to menopause. However, they are the exception. Most women will have at least some symptoms. These can range from a mild sensation of feeling warm, to a beet red face and drenching sweats that leave the sufferer with wet hair and clothes soaked in sweat. As you can imagine, this can be especially disconcerting to a woman who’s in the middle of a business meeting.

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My Vow To Women’s Health

Could The Nervous Breakdowns of the 1960's be undiagnosed symptoms of menopause?

The structure and operation of the human body is intriguing. It is a beautifully linked, complex system involving endless, intricate processes. I am in awe of this system and have dedicated my life to honoring it and understanding it as completely as possible. Even though I had an excellent education at UCLA and USC, I’ve learned even more over the years by listening to and interacting with my patients. Medicine is a life-long process of learning, continually enhanced as a physician acquires and draws upon a rich knowledge base of clinical experience.

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The Endocrine Symphony

Dr. Johnson discusses the Endocrine Symphony

To make the proper choice regarding hormone replacement, it’s important to understand the basic function of the endocrine system, that complex and elegant chemical enterprise within the body that controls and coordinates such functions as reproduction, metabolism, behavior, growth and development. Replenishing and rebalancing of this system are the goals of hormone replacement and the focus of Endocrinology.

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Why Low Cholesterol is Not Always The Answer

Why Low Cholesterol Isn't Always the Answer

 

Understanding the biology and physiology of estradiol, progesterone, and testosterone gives us insight on how critical they are to the optimal function of the body. When they are deficient, as in menopause, it’s preferable, whenever possible, to utilize pharmaceutical bioidentical hormones to restore the very same hormones which have been in your body since you went through puberty. Cholesterol, which some people regard as something “bad”, is actually the basic building block for all the hormones made by the ovaries and the adrenal glands. Care should be taken to not aggressively lower cholesterol to extremely low levels with cholesterol lowering drugs because it can cause marked disruption in production of these vital hormones.

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Solutions Not Suppression

Solutions Not Suppression

 

I’m a naturally curious person which greatly affects how I evaluate a patient. I see signs and symptoms as the language of the body. This is how your body tells you and me there is a problem. Symptoms represent a reactive compensation of the body to an underlying process. Once I understand the process that caused the symptoms, I’m in a better position to formulate a plan to correct the problem.

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Healing Begins By Knowing That It Is Possible

The Golden Gate Bridge, Bridge of Hope

Giving patients hope is an important aspect of the doctor-patient relationship that contributes to good outcomes. Early on in my career as a new Endocrinologist, I saw Alice, a 35-year-old woman with Type 1 diabetes and mild diabetic kidney damage. I started her on a protein restricted diet and medication to slow the progression of diabetic kidney disease. Eager to not be missing any other new therapy that might be helpful, I referred her to a kidney specialist. Alice came back to see me two weeks later, and burst into tears as soon as I entered the exam room. Alarmed at her distress, I asked what had happened. Through her tears, she sobbed,

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MARINA JOHNSON
M.D., F.A.C.E.
MEDICAL DIRECTOR

BOARD CERTIFIED
IN ENDOCRINOLOGY
& METABOLISM AND
INTERNAL MEDICINE

10670 N Central Expressway
Suite 510
Dallas, Texas 75231-2111

214.574.4376 office
214.574.4377 fax

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