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 
and vitality.  

                                              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.  

 From ACOG  
The Menopause Years
                  Midlife Transitions: A Guide to Approaching Menopause
Preventing Osteoporosis
Hormone Replacement Therapy

                                                      From The North American Menopause Society
     Menopause Guidebook 
       Induced Menopause Guidebook
     Menopause: A New Beginning

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"Do not become alarmed when you experience 
yourself in totally 
new ways," sighs 
Grandmother Growth, tenderly. 
"You are changing, 
getting ready to be
initiated into the third 
stage of your life. 
Are you ready for the 
ride of your life?"
 ~ Susan Weed, Menopausal Years  The  Wise Woman  Way               

Dr. Blank sees menopause management as an on-going collaboration between the doctor and the patient that takes into account her medical history, family history, values, preferences, and concerns, so she can make an informed decision that is best for her needs and lifestyle.   Therefore, he provides comprehensive counseling to each of his patients on the hormonal changes they can expect as they journey through each of the three stages of menopause, the effects of these changes, and ways to prevent and treat conditions associated with menopause and aging.  He also advises each patient on the potential benefits and risks of ERT/HRT and bio-identical hormones as it pertains to her specific health conditions, and on alternative therapies or approaches to disease prevention and menopausal symptom relief.

As men and women grow older, the body stops making hormones, which can have devastating repercussions and impact your overall health. For women, menopause has traditionally been a sign of this hormonal decline.  In the past, the established treatment was to 
replace what’s been lost by using synthetic hormones. 

However, over the past few years, bio-identical hormone therapy has emerged as an alternative to traditional hormone therapy.  As a result, an estimated two million women have found a respite from the 
unpleasant merry-go-round of menopause.
  • Weight Gain
  • Hypothyroid
  • Allergies
  • Age Management
  • PMS
  • Loss of Libido
  • Sexual Dysfunction
  • Insomnia
  •  Menopause Management
  • Height and Weight
  • Muscle tone
  • Digestion
  • Heart Rate
  • Complexion
  •  Mood
  • Sleep

Management of Menopause