Menopause 

In a world where information is at our fingertips, don’t let anything or anyone make you feel like the menopause transition is confusing.  Dr. Rachel is trained to lay out everything you need to know from treating symptoms to reducing increased risk and working with your lifestyle to find you a sustainable treatment plan. 

Menopause is one day. It is the day you reach 365 days without a menstrual bleed. Without a menstrual bleed we enter a state of minimal estrogen and progesterone production. 

Symptoms of Menopause

Risk Management After Menopause 

Estrogen and progesterone are responsible for far more than a menstrual cycle, fertility and mood swings. 

Loss of estrogen constributes to an increase in cardiovascular risk in women. Included in the risk are visceral adipose tissue accumulation, dyslipidemia, steep increases in total LDL and ApoB, sharp rises in systolic blood pressure, and increased subclinical atherosclerosis. This is a far larger conversation that menopause providing cardiovascular disease remains the leading cause of death in women. 

The brain remains a vulnerable organ after menopause. There is a 16% prevalence of new-onset depression and/or anxiety during menopause transition in women without prior history. 

Osteoporosis risk (loss of bone mass) increases during this time period. We believe this is likely due to loss of metabolically active muscle mass over this time period and we do see this risk reduce with the replacement of hormones. 

Perimenopause

Common Symptoms 

Hormone Assessments 

Hormone Replacement Therapy 

Polyendocrine Metabolic Ovarian Syndrome

Diagnosis of PMOS 

Laboratory assessments in PMOS

Premenstrual Syndrome & PMDD

Diagnosis of PMS or PMDD 

Hormone Testing 

Endometriosis

Therapeutic Targets In Endometriosis 

Options beyond progestins and hormonal contraceptives 

Vaginal Infections

Yeast Infections 

Bacterial Vaginosis