Menopause Specialist

What causes menopause?

Menopause occurs when your ovaries stop producing the female hormones estrogen and progesterone. These hormones are responsible for regulating ovulation and your menstrual cycle. Once you reach menopause, you no longer have periods and can’t get pregnant.

This is a normal part of a woman’s health cycle — sometimes called “the change” — but treatment can reduce the severity of menopause symptoms and improve your quality of life as you go through this natural transition.

When does menopause occur?

Menopause is marked by the permanent end to a woman’s menstrual period. In the United States, the average age at menopause is 52, though you can experience it any time between the ages of 45 and 55.

Menopause is preceded by perimenopause — when symptoms of menopause begin — and followed by post-menopause — when your body begins to adapt to the changes after menopause. 

In most cases, symptoms of menopause are gone during the post-menopausal period, though you may experience new symptoms as your body no longer produces estrogen and progesterone.

Some cancer treatments, hysterectomies, and premature ovarian failure can also start menopause. 

What are the signs of menopause?

Menopause symptoms occur as your body produces fewer hormones. Unfortunately, the levels of your hormones can fluctuate throughout menopause, causing some uncomfortable symptoms, such as:

• Hot flashes
• Night sweats
• Insomnia
• Weight gain, especially in the abdominal area
• Mood changes, including anxiety and depression
• Decreased sex drive
• Vaginal dryness
• Irregular periods
• Thinning hair and dry skin
• Loss of breast fullness
  
  

These symptoms can flare up during some months while they may be less severe in other months. This all depends on your hormone levels in that given month. Treatment can reduce these flare-ups and make the transition smoother.

How is menopause diagnosed?

Menopause is diagnosed based on your symptoms, age, and blood testing. The Endocrine Center team orders blood testing to check your hormone levels and determine the severity of your menopause symptoms.

Based on your evaluation and exam, your doctor may recommend treatment to reduce the severity of your symptoms.

How is menopause treated?

Your doctor may recommend hormone replacement therapy (HRT) to manage your symptoms, if appropriate. HRT comes in many forms, such as pills, patches, under-the-skin implants, and creams. HRT works by providing low doses of estrogen and progesterone in order to balance your hormones. This reduces flare-ups and the roller coaster of side effects common during menopause.

In addition to HRT, your physician might recommend other medications to manage hot flashes and other symptoms, such as gabapentin and antidepressants.

Menopause-related estrogen loss is a common risk factor for osteoporosis. The Endocrine Center doctors offer bone scanning and comprehensive treatment plans to address bone loss to help you stay fit and healthy as you age. 

To discuss your menopause symptoms with the physicians at The Endocrine Center, call your nearest office or make an appointment online today.