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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Look & Feel Younger with Estrogen

 

Look & Feel Younger with Estrogen

The beginning of the new year is a time when many women want to lose weight and improve their appearance. Why not do this by restoring deficient hormones that occur with aging? It often starts with telltale signs like fine wrinkles around the eyes or mouth and dry, sagging skin. Menopausal women often deny themselves estrogen because they’re fearful of breast cancer. Yet, they’re not informed there are more risks from NOT taking estrogen! Heart disease and strokes kill more women each year (400,000) than the next sixteen causes of death including diabetes, all forms of cancer, AIDS and accidents! Estrogen decreases Alzheimer’s and dementia by 50% and osteoporosis by 40%. I wrote my book, “Outliving Your Ovaries: An Endocrinologist Reviews the Risks and Rewards of Treating Menopause with Hormone Replacement Therapy,” to give women a guidebook for evaluating and selecting the safest forms of estrogen.

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Can Estrogen Protect Women Against Heart Disease?

Can Estrogen Protect Women Against Heart Disease?

 

Topical Estrogen Gives Better Protection Against Heart Disease – A compelling recent study in the European Heart Journal, September 2008 was designed to answer the question: Does estrogen cause heart attacks? A group of 698,098 healthy Danish postmenopausal women were followed for six years. The women were divided into groups by the TYPE of HT they were taking and compared to those women on no HT. The women on oral estrogen plus progestin had a 35% HIGHER occurrence of heart attacks as compared to women on no HT. The women on topical estrogen (patches, gels, NOT COMPOUNDED) had a 38% LOWER occurrence of heart attacks compared to women on no HT. So in essence, oral estrogen causes heart attacks while topical estrogen protects against heart attacks!

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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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Testosterone: Achieving a Delicate Balance

Testosterone and women

 

When a woman goes through menopause and her ovaries stop producing estrogen and progesterone, the pituitary responds by increasing FSH, a hormone from the pituitary gland that has regulated these hormones throughout her reproductive life. However, when all the eggs have been depleted, no further estrogen or progesterone can be produced. Nonetheless, the pituitary, which is “hard-wired” to respond to low estrogen, continues to make increasingly higher levels of FSH.

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Could Your Insomnia Be Due To An Imbalance In Your Hormones?

What causes insomnia?

Bonnie has always been able to enjoy good sleep in the past. No matter how stressed she might be, she could count on laying her head on her pillow, falling fast asleep and waking up the next morning refreshed and rejuvenated. However, when she reached her mid 40’s, her periods started changing and she began experiencing sleep problems. First, she would just have insomnia the night before starting her period. As her periods became more irregular, she started waking up in the middle of the night around 2 or 3 am and would find herself wide awake and unable to go back to sleep. With so little sleep, she would be exhausted the next morning. Over-the-counter sleep aids would make her feel sluggish the following day. By the afternoon and early evening, she would be crashing. She came to see me on maximal doses of prescription sleep medicine and still was sleeping poorly.

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Resuming HRT in Breast Cancer Survivors

Resuming HRT in Breast Cancer Survivors

I am often asked whether breast cancer survivors can ever safely initiate HRT. In addition, they are often taking estrogen blocker drugs, like tamoxifen, especially if their breast cancer was positive for estrogen receptors. These women frequently suffer severe symptoms of estrogen deficiency.

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Feel Absolutely Empowered!

“Outliving Your Ovaries” is a must read for every woman. Not only because it demystifies so many controversial and conflicting views in treating menopause, but mostly because one can put that book down and feel absolutely empowered! Women can now have the intelligent and informed conversation with their doctors about their bodies that so many of us have struggled to have.

How Long Can I Safely Stay On My Hormone Therapy?

How long can I safely stay on my hormone therapy?

I am frequently asked the question, “How long can I safely stay on my hormone therapy? and I usually ask the woman, How long do you want to continue to feel well?” In all seriousness, there are no long-term studies that enable me to answer this question. Taking hormones less than five years seems to carry very little risk. However, the longer you take hormones the higher your risk.

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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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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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