Your symptoms can be indicators of perimenopause or menopause. Every woman who enters middle age is affected by menopause. Roughly 6,000 women in the United States reach menopause every day.
Many women transition without significant complications; however, countless others suffer from significant biological, cognitive, psychological, vulvovaginal, urinary, and sexual dysfunctions.
For many women, this time in life may represent a significant challenge. It may lead to problems in relationships with family, co-workers and friends.
Symptoms of menopause can be alleviated with many different therapy options. Our providers at Nore Women’s Health work with their patients in a partnership to treat women during this transition.
• Hot Flashes
• Vaginal Dryness
• Night Sweats
• Irritability &
• Memory Lapses
• Trouble Sleeping
• Irregular Periods
• Joint &
• Loss of Libido
During menopause, lifestyle changes including a healthy diet and exercise are recommended and may minimize symptoms. A balanced diet and adequate exercise are important to monitoring health and well-being.
Eating and drinking two to four servings
of dairy products and calcium-rich foods
a day will help ensure that you are getting
enough calcium in your daily diet.
Eating at least three servings of iron-rich
foods a day, such as dark leafy greens
and iron-enriched cereals and grains, will
help ensure that you are getting enough
iron in your daily diet.
Help yourself to foods high in fiber such
as whole-grain breads, cereals, pasta,
rice, fresh fruits, and vegetables.
Staying hydrated promotes digestion,
joint lubrication, and healthier-looking
Fat should be 25% – 35% or less of
your total daily calories. Also, limit
saturated fat to less than 7% of your
total daily calories.
Lose weight if you are overweight by
cutting down on portion sizes and
reducing foods high in fat, not by
Include at least 1 1/2 cups of fruit and
2 cups of vegetables each day
Too much sodium in the diet is linked
to high blood pressure. Drinking just
one can of sugary soft drink a day can
significantly increase your risk of type 2
Women should limit their consumption
of alcohol to one or fewer drinks a day
Exercising for 30 minutes at least 3 – 4
times a week will increase metabolism,
improve your mood and increase bone
and heart health and well-being.
Women who smoke are more likely to have moderate to severe hot flashes
Naturally occurring onset of menopause begins on average at age 52. It typically
lasts four to eight years prior to a final period.
When menopause occurs at age 40 or earlier, it’s premature. Early onset may be
due to medical conditions such as autoimmune, thyroid, ovarian and metabolic
disorders or resulting from a hysterectomy.
A temporary or permanent state, induced menopause may occur as a short-term
side effect to some cancer treatments. More commonly this occurs during a
hysterectomy when the ovaries are removed.
We accurately assess your individual results to assure that your treatment plan is designed with your needs in mind. Several blood tests combined with your age, weight, personal symptoms and other factors are combined to determine the correct delivery method and dosage for you as an individual.
Full hormone evaluation provides valuable information as to the cause of your symptoms and provides a direction in replacing what hormones your body needs.
Follicle Stimulating Hormone determines the functioning of the pituitary gland that regulates ovarian secretion of estradiol. When elevated, FSH determines your menopausal status.
Evaluating your level of estrogen that when abnormal (high or low) may be responsible for your symptoms.
Determines the total testosterone that is in your bloodstream.
Determines the amount of testosterone that your body has available to use.
This hormone is also produced by the ovaries and may aid with sleep.
Sex Hormone Binding Globulin (SHBG) determines the blood’s capacity to “bind” to your hormones possibly causing difficulty with absorption through your body.
Evaluating your adrenal gland production and its role in fatigue.
Thyroid Stimulating Hormone determines thyroid function. Abnormalities can result in symptoms similar to menopause
Use of supplemental doses of hormones that have a chemical structure identical
to the hormones that the human body naturally produces.
Largely focused on lifestyle changes and non-hormonal medications to address
Naturally occurring herbal treatment using black cohosh, red clover, dong quai, evening primrose, and other vitamin therapies. Sometimes, massage, acupuncture or relaxation techniques may be recommended.
These are available in many
different dosages and brand names or can be compounded for you. Once your healthcare provider determines the dosage, the order is given to your pharmacist.
Creams are usually white in color and supplied to you in a jar or in a syringe. Your menopause specialist works with compounding pharmacies to determine a specific amount to be applied to the inner arms or thighs once or twice a day.
Troches are quite similar to a lozenge that you place between your cheek and gum and allow to dissolve.
Vaginal suppositories are compounded by your pharmacist by heating the ingredients into a liquid form and then they are poured into a mold to form a suppository.
Vaginal rings are pharmaceutically prepared and come in predetermined dosages.
Hormone therapy is intended to be used at the lowest dosage that is appropriate physiologically and for the shortest amount of time to control the symptoms of perimenopause and menopause in women whose quality of life is negatively affected. Our providers will develop a program especially for you and, when appropriate, will work with you to decide on the safest dosage and duration and the best individualized plan possible.