Once a course of therapy is chosen, Dr. Blank will monitor and re-visit decisions about menopause management with the patient at each of her subsequent visits. This allows him to assess new research, evaluate the patient's current health status and discuss her options and preferences for treatment. The objectives of on-going menopause counseling are to facilitate each patient's informed decision making, keep her in optimal health, and enhance her quality of life.
What is Menopause?
Menopause is marked by a decrease in the hormones estrogen and progesterone. Aside from your menstrual
cycle, these hormones also affect:
What is Perimenopause?
The time between your regular fertile years and menopause is called perimenopause. During perimenopause,
your ovaries will release fewer eggs and your periods will become irregular. You may experience some
menopausal symptoms even though you are still menstruating.
There is no way to predict when you will start perimenopause, but you may experience it around the same age
that your mother did (unless she had early menopause due to a hysterectomy). Although it typically starts in a woman's forties,
it can start in your thirties, as well, and could last anywhere from a few years to around ten years.
What is Postmenopause?
After menopause has taken place, you will not have your period, because your ovaries are releasing too little
estrogen and you are producing no progestin. Symptoms will vary, but many treatments are available.
What is Bio-identical Hormone Therapy
Bio-identical hormones are designed to chemically replicate a woman’s natural hormones. Some bio-identicals are ingested as medication, while others are inserted as supplements or can be administered as gels or creams that are topically rubbed into the
skin, thus by-passing the liver. In order to gain the full benefit of bio-identical hormone therapy, it is highly recommended that women also exercise, follow a proper diet, manage their stress and take vitamin supplements. This regimen can slow down cellular degeneration, allow tissue regeneration and delay the aging process. Faithfully following this routine results in improved energy
What Issues Can Hormone Replacement Therapy Help?
Here’s a partial list of what an integrated approach to hormone replacement therapy can help to resolve:
* The risk of cardiovascular disease is decreased in patients who have never had cardiovascular disease (heart attack or stroke).
You may find the following patient education and decision-making tools helpful.
The Menopause Years
Midlife Transitions: A Guide to Approaching Menopause
Hormone Replacement Therapy
From The North American Menopause Society
Induced Menopause Guidebook
Menopause: A New Beginning