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Menopause Support and Information
Menopause
Dr. Richard Valentine OBGYN Medical Practice

Menopause, or the permanent cessation of a woman’s monthly cycle in association with loss of ovarian function, usually affects women between the ages of 45 and 55. It is important to remember that menopause is part of the normal life cycle for all women. With this “change of life” usually comes a newfound freedom from monthly periods and the worry of pregnancy.

The transition to menopause varies from woman to woman; sometimes it can be as short as a few months to as long as ten years, but the average time is a little less than 4 years. In early menopause a woman’s cycle can become irregular, with flow ranging from heavy to light and she may even miss a period. During this transitional time, a woman may still be able to become pregnant. Menopause can be diagnosed in women in the following circumstances:

• Women with intact ovaries who have not had a monthly cycle for a year or more (with no other diagnostic cause)
• Women who have had their ovaries surgically removed
• Women with a hysterectomy when hormonal levels have decreased to menopausal levels

The symptoms of menopause can vary from woman to woman, but are usually defined as “hot flashes” “night sweats” and vaginal dryness. Some women may also experience mood swings, forgetfulness, or fatigue (usually from the night sweats keeping them awake at night). These symptoms usually disappear as the estrogen and other hormone levels stay at a low level.

Some women choose to replace the estrogen that is lacking during menopause to help relieve their symptoms. If a woman has had her uterus removed she can take estrogen by itself, but if she still has an intact uterus she will usually take estrogen combined with a form of another hormone called progesterone.

Standard hormone replacement therapy is not initiated to prevent cardiovascular disease or osteoporosis associated with the menopausal years, although these may be beneficial side effects. The only intent is to relieve the core symptoms of menopause (i.e. hot flashes, night sweats and vaginal dryness).

There are a number of dietary supplement products that are marketed as menopausal symptom treatment. Many women have found these to be very beneficial, but they are not regulated by the FDA for safety and efficacy. Be sure to let your practitioner know if you are taking any over-the-counter herbal remedies.

We are here to assist you with your transition through menopause and will do our best to help you understand and ease your menopausal symptoms.

   
 
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Richard N. Valentine, Jr. M.D., P.C. 700 Independence Circle #3A Virginia Beach, VA 23455
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