Posts Tagged ‘menopause’

Urinary Tract Infections (UTIs) in Women

September 4, 2016

Perhaps one of the most common infections in all women and young girls are UTIs.  Nearly 50% of all women will experience a UTI during their lifetime.

Urinary tract infections (UTIs) are very common in the U.S. In fact, UTIs are the second most common type of infection in the body and are the reason for more than 8 million visits to the doctor each year. About 50% of all women will develop at UTI during their lifetime.

Most UTIs involve the bladder (cystitis) are not serious, but some can lead to serious problems like kidney infections. The most common care or treatment for a UTI is antibiotics. Signs of a UTI involve pain or burning when you pass urine, urine that looks cloudy or smells bad, pressure in your lower abdomen, and an urge to go to the bathroom often. You can get a UTI at any age, but there are peak times in life when they are more common.

Many women report UTIs following sexual activity. Another peak time for UTIs in women is after menopause. This is because of lower vaginal estrogen levels. Lower estrogen levels make it easier for bacteria to grow. A woman’s urethra or the tube from the bladder to the outside of the body is very short, about two inches in length compared to man’s urethra which is 8-10 inches long. This short length makes it easy for bacteria to enter a woman’s bladder. The opening of a woman’s urethra is near the rectum and vagina which happen to be two common places where bacteria dwell.

Prevention of UTIs in women may be as simple as instructing women to wipe from front to back following urination and bowel movements. This helps cut the chance of spreading bacteria from the anus to the urethra.

For women who notice more UTIs after sexual activity, I will often recommend that women take a low dose antibiotic shortly before or right after sexual activity.

Bottom Line: UTIs are common in women.  Most of these infections are not serious and can be treated with a short course of antibiotics.  For women with chronic or repeated infections, low dose antibiotics may be helpful.

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Tests Every Woman Should Have as She Goes Through Menopause

September 13, 2015

Let the truth be told, women are much better than men about screening tests, office visits to the doctor, and taking their medications than their male counterparts. Let me review tests that women should do after menopause.

If a middle age woman hasn’t had a menstrual period for a year, she’s probably a member of the menopause club. Of course, there are other causes of absent periods but menopause is the most common in middle age women

Blood Tests Every Woman Should Have

If you’re still menstruating, your hormone panel (blood test) should be done during the first three days of your period. It can test for the following hormones:

  • DHEAS (DHEA sulfate) – a hormone that easily converts into other hormones, including estrogen and testosterone
  • Estradiol- the main type of estrogen produced in the body, secreted by the ovaries. If yours is low it can cause memory lapses, anxiety, depression, uncontrollable bursts of anger, sleeplessness, night sweats and more.
  • Testosterone – Free testosterone is unbound and metabolically active, and total testosterone includes both free and bound testosterone. Your ovaries’ production of testosterone maintains a healthy libido, strong bones, muscle mass and mental stability.
  • Progesterone- If yours is low it can cause irritability, breast swelling and tenderness, mood swings, “fuzzy thinking,” sleeplessness, water retention, PMS and weight gain.
  • TSH (thyroid-stimulating hormone) – If yours is irregular, you may need to have your Total T3 and Free T4 checked as well.

If you’re already in the midst of perimenopause or menopause, here are other important tests to consider:

Bone Density

This test, also called a bone scan or DEXA scan, can reveal whether you have osteopenia or osteoporosis. When you enter perimenopause and menopause, the drop in estrogen can do a number on your bone mass. Don’t worry; the scan is quick and exposes you to very little radiation.

Cancer Marker for Ovarian Cancer

CA-125 (cancer antigen 125) is a protein best known as a blood marker for ovarian cancer. It may be elevated with other malignant cancers, including those originating in the endometrium, fallopian tubes, lungs, breasts and gastrointestinal tract. If your test comes back positive, don’t panic; this test is notorious for producing false positives!

Cholesterol

Like your moods, cholesterol levels change in perimenopause and menopause. An excess of cholesterol can build up artery plaque, narrowing blood vessels and potentially causing a heart attack. A cholesterol panel usually includes checking your HDL (high-density lipoprotein or the good cholesterol), LDL (low-density lipoprotein or bad cholesterol) and triglycerides (molecules of fatty acids). You’ll need to fast for 12 hours before this test (a perfect time to step on the scale!).

Vitamin D3

This vitamin helps maintain normal blood levels of calcium and phosphorus, keeping your bones strong.

And one more suggestion…

Even during and following menopause, women still need to conduct a monthly breast self-exam and your annual mammogram. Woman should also schedule an annual checkup with a primary care physician, and an annual pelvic exam with your gynecologist.

Women and men also need to schedule a colonoscopy, according to the American Society of Colon and Rectal Surgeons.

Bottom Line: Remember that when you’re in perimenopause and menopause, it’s important to not only focus on “down there,” but on your body as a whole. That includes your mental and emotional health as well.

For more information on “down there”, I recommend my book, What’s Going On Down There- Improve Your Pelvic Health, available from Amazon.com (http://www.amazon.com/Whats-Going-Down-There-Siddighi/dp/1477140220/ref=sr_1_13?ie=UTF8&qid=1442165577&sr=8-13&keywords=What%27s+Going+On+Down+There)

What's Going On Down There-Improve Your Pelvic Health (amazon.com)

What’s Going On Down There-Improve Your Pelvic Health (amazon.com)

Ladies, Is Testosterone The Answer To The Low Libido Question?

September 13, 2015

Almost everyone knows that testosterone is the man’s hormone and is responsible for his sex drive or libido. But few know that testosterone is also the hormone for women’s sex drive and libido. This blog will discuss the role of testosterone in women and what you can do if your sex drive is in the tank.

If you are a menopausal woman, chances are pretty good that your sex drive has slowed down since your “roaring twenties and thirties”.

Some of you will go so far as to say that you have no interest in sex whatsoever. There is a really good physiological reason for this decrease in interest, by the way. When women hit their forties and beyond, the ovaries start their journey toward menopause. That means that we are getting closer to the end of our ovarian production of both estrogen and testosterone. These hormones play a critical role in women’s sexual health and wellness. The decline in testosterone is a normal part of aging, but it can have a profound physical and emotional impact on some women.

Women make plenty of testosterone from their ovaries, starting at puberty and lasting a few until menopause or until the ovaries stop producing estrogen and testosterone. Testosterone has several duties, including improving our sense of well-being and energy, maintaining bone health and, of course, assisting estrogen in the pursuit of sexual health and normal functioning.

Testosterone therapy is approved by the FDA in menopausal women who have the diagnosis of hypoactive sexual desire disorder (HSDD).

Bottom Line: Women with low sex drive might want to speak to their doctors and have their testosterone level checked. If the testosterone is low and the women complains of a decrease in her sex drive, then testosterone replacement in women is an option.

Menopause or Andropause-Not the “Pause” That Refreshes Either Women or Men

July 19, 2015

Around age 50 women have a drop in their hormones and enter into menopause. At about the same age men start experiencing a decrease in testosterone occurs. This is the male hormone that is responsible for sex drive, muscle mass, bone strength, and even erections. This condition in men is referred to as andropause and it affects millions of American men.

The symptoms of andropause include hot flashes, fatigue, night sweats, mood swings; all the fun things that females going through menopause may endure. Men lose one percent testosterone for every year past 30 but usually don’t develop symptoms until age 50. As testosterone decreases, estrogen increases. Abdominal fat causes excess estrogen and low levels of testosterone may also lead to prostate problems. Ever wonder why suddenly you are gaining weight around the middle? It could be your hormone levels are unbalanced.

The diagnosis is easily made with a blood test to measure the testosterone level. Men more than 50 years of age should also have a digital rectal exam to check their prostate gland and a PSA test which is a screening test for prostate cancer. Treatment options include testosterone replacement therapy. This can be administered with self injections of testosterone, topical gels, or the insertion of testosterone pellets under the skin.

Bottom Line: Testosterone deficiency in middle age and older men affects millions of American men. The diagnosis is easily made and effective treatment is available. You don’t have to suffer this common condition. Help is available. See your doctor.

Caffeine and Menopause-Say Adieu to the Brew

September 28, 2014

Menopause can cause uncomfortable and often incapacitating hot flashes. In most instances these are temporary and will subside without any treatment.

I suggest that if you are suffering from hot flashes, then limit your caffeine consumption. Higher caffeine intake could lead to more severe hot flashes and night sweats during the menopause.

A survey of more than 2,500 women who presented with menopause-related issues at the Mayo Clinic’s Women’s Health Clinic. Researchers then compared the data from those who used caffeine with those who did not.

The study shows that those who used caffeine were more likely to report more severe hot flashes and night sweats.

However, caffeine intake was also linked to experiencing fewer problems with mood, memory and concentration, indicating that it also has its benefits. Mayo Clinic said this could be because caffeine is known to enhance arousal, attention and mood.

Bottom line: While these findings are preliminary, our study suggests that limiting caffeine intake may be useful for those postmenopausal women who have bothersome hot flashes and night sweats.

Do Women Have Low T? The Role Of Testosterone in Women

July 28, 2014

Testosterone is the male hormone produced in the testicles that is responsible for sex drive or libido. Women also make testosterone in their ovaries. After menopause the amount of testosterone is decreased and will affect a woman’s sex drive and libido.
Testosterone, widely and misleadingly understood to be the “male” hormone. Men produce 10 times more testosterone than women, but in their early reproductive years women have 10 times more testosterone than estrogen coursing through their bodies. And many experts now believe that it’s the loss of testosterone, and not estrogen, that causes women in midlife to tend to gain weight, feel fatigue and lose mental focus, bone density and muscle tone — as well as their libido. Testosterone is a woman’s most abundant biologically active hormone. Adequate levels of testosterone are necessary for physical and mental health in both sexes.



Benefits for Women
 
Women, before, during and past menopause, and sometimes as early as in their mid-30s, invariably have low testosterone levels. Not all women will experience its wide variety of symptoms, like low libido, hot flashes, fatigue, mental fogginess and weight gain. For those who do, and who seek to avoid taking synthetic oral hormones (shown by National Institutes of Health findings to pose an increased risk for breast cancer, heart attack, stroke, blood clots and dementia), bioidentical testosterone (whose molecular structure is the same as natural testosterone) has been shown to be safe and effective.

Some testosterone is converted by the body into estrogen — which partly explains why it is useful in treating menopausal symptoms. For those at high risk for breast cancer, or who have had it, that conversion can be prevented by combining testosterone with anastrozole — an aromatase inhibitor that prevents conversion to estrogen. Nonetheless, testosterone has been shown to beneficial for patients with breast cancer. Preliminary data presented at the American Society of Clinical Oncology have shown that, in combination with anastrozole, testosterone was effective in treating symptoms of hormone deficiency in breast cancer survivors, without an increased risk of blood clots, strokes or other side effects of the more widely used oral estrogen-receptor modulators tamoxifen and raloxifene.

Other benefits cited for testosterone therapy include:

Relieving symptoms of menopause, like hot flashes, vaginal dryness, incontinence and urinary urgency.

Enhancing mental clarity and focus. Researchers at Utrecht University in Holland recently found that testosterone appears to encourage “rational decision-making, social scrutiny and cleverness.”

Reducing anxiety, balancing mood and relieving depression combined with fatigue. Dr. Stephen Center, a family practitioner in San Diego who has treated women with testosterone for 20 years, says the regimen consistently delivers “improvement in self-confidence, initiative and drive.”

Increasing bone density, decreasing body fat and cellulite, and increasing lean muscle mass. Testosterone is the best remedy available for eliminating midlife upper-arm batwings.

Offering protection against cardiovascular events, by increasing blood flow and dilating blood vessels, and against Type 2 diabetes, by decreasing insulin resistance.

Countering the Myths

Some women believe, also incorrectly, that testosterone therapy will produce “masculinizing” traits, like hoarseness and aggression. While the hormone may cause inappropriate hair growth and acne in some women, those side effects can be remedied by lowering the dose.

Testosterone therapy has been approved for a variety of conditions in women as well as men in Britain and Australia. But while the U.S. Food and Drug Administration has approved of testosterone for use in men whose natural levels are low, the agency has not sanctioned it for women, for any reason.

How Treatment Works

Women can take testosterone as a cream, through a patch or in the form of pellet implants, which have the highest consistency of delivery. Synthesized from yams or soybeans, and compounded of pure, bioidentical testosterone, the pellets, each slightly larger than a grain of rice, are inserted just beneath the skin in the hip in a one-minute outpatient procedure. They dissolve slowly over three to four months, releasing small amounts of testosterone into the blood stream, but speeding up when needed by the body — during strenuous activities, for example — and slowing down during quiet times, a feature no other form of hormone therapy can provide.

To determine a patient’s dosage, some doctors measure testosterone levels in the blood.

Side effects of the insertion procedure, which are rare, include infection, minor bleeding and the pellet working its way out or being extruded. Some patients notice improvements within a day or two; others do not perceive benefits for a couple of weeks.

Bottom Line: Since implantation is a surgical procedure, and the pellets are manufactured by a variety of pharmaceutical compounders, who may have varying safety standards, it’s important for women to consult with an experienced, board-certified physician about treatment. Ask your doctor if you feel you are having symptoms related to low testosterone and see if testosterone replacement would be right for you

Menopause Doesn’t Mean Goodbye To Sex

June 1, 2014

The loss of estrogen and testosterone following menopause can lead to changes in a woman’s sexual drive and functioning. Menopausal and postmenopausal women may notice that they are not as easily aroused, and may be less sensitive to touching and foreplay — which can result in decreased interest in sex.
In addition, lower levels of estrogen can cause a decrease in blood supply to the vagina. This decreased blood flow can affect vaginal lubrication, causing the vagina to become dry and cause painful intercourse.
A lower estrogen level is not the only culprit behind a decreased libido; there are numerous other factors that may influence a woman’s interest in sexual activity during menopause and after. These include:
Bladder control problems (incontinence)
Sleep disturbances
Depression or anxiety
Stress
Medications
Health concerns
Some postmenopausal women report an increase in sex drive. This may be due to decreased anxiety associated with a fear of pregnancy. In addition, many postmenopausal women often have fewer child-rearing responsibilities, allowing them to relax and enjoy intimacy with their partners.

During and after menopause, vaginal dryness can be treated with water-soluble lubricants such as Astroglide or K-Y Jelly. Do not use non-water soluble lubricants such as Vaseline, because they can weaken latex (the material used to make condoms, which should continue to be used until your doctor verifies you are no longer ovulating and to prevent contracting sexually transmitted diseases). Non-water soluble lubricants can also provide a medium for bacterial growth, particularly in a person whose immune system has been weakened by chemotherapy or in women who are prone to recurrent urinary tract infections.
Vaginal moisturizers like Replens and Luvena can also be used on a more regular basis to maintain moisture in the vagina. You can also talk to your doctor about vaginal estrogen therapy.
A oral drug taken once a day, Osphena, makes vaginal tissue thicker and less fragile, resulting in less pain for women during sex. The FDA warns that Osphena can thicken the endometrium (the lining of the uterus) and raise the risk of stroke and blood clots.
Estrogen replacement may help raise the sex drive after menopause which is associated with a decrease in estrogen. Estrogen can also make intercourse less painful by treating vaginal dryness.
Doctors are also studying whether a combination of estrogen and male hormones called androgens may be helpful in increasing sex drive in women.
Bottom Line: Sexual desire and enjoyment from sexual intimacy can be preserved after menopause. It may dry the vaginal lining but it doesn’t have to dry up the desire to be sexually intimate with your partner.

Birds Do It; Bees Do It; and so Do Senior Citizens

February 17, 2014

With aging of the baby boomers, with their focus on health and wellness, and with increasing life expectancy for both men and women, it is natural and normal for our seniors to be sexually active. Many people want and need to be close to others as they grow older. This includes the desire to continue an active, satisfying sex life. But, with aging, there may be changes that can cause problems. This blog will discuss the normal changes that occur with aging and what can be done to add intimacy for both men and women.
Normal Changes With Aging
Normal aging brings physical changes in both men and women. These changes sometimes affect the ability to have and enjoy sex. A woman may notice changes in her vagina. As a woman ages, her vagina can shorten and narrow. Her vaginal walls can become thinner and also a little stiffer. Most women will have less vaginal lubrication. These changes could affect sexual function and/or pleasure. The solution to the vaginal dryness is easily resolved with the use of water soluble lubricant such as KY Jelly.
As men get older, impotence (also called erectile dysfunction–ED) becomes more common. ED is the loss of ability to have and keep an erection for sexual intercourse. ED may cause a man to take longer to have an erection. His erection may not be as firm or as large as it used to be. The loss of erection after orgasm may happen more quickly, or it may take longer before another erection is possible. ED is not a problem if it happens every now and then, but if it occurs often, a doctor can usually provide an effective solution.
What Causes Sexual Problems?
Some illnesses, disabilities, medi­cines, and surgeries can affect your ability to have and enjoy sex. Problems in your relationship can also affect your ability to enjoy sex.
Arthritis. Joint pain due to arthritis can make sexual contact uncomfortable. Exercise, drugs, and possibly joint replacement surgery may relieve this pain. Rest, warm baths, and changing the position or timing of sexual activity can be helpful.
Chronic pain. Any constant pain can interfere with intimacy between older people. Chronic pain does not have to be part of growing older and can often be treated. But, some pain medicines can interfere with sexual function. You should always talk with your doctor if you have unwanted side effects from any medication.
Dementia. Some people with dementia show increased interest in sex and physical closeness, but they may not be able to judge what is appropriate sexual behavior. Those with severe dementia may not recognize their spouse but still seek sexual contact. This can be a confusing problem for the spouse. A doctor, nurse, or social worker with training in dementia care may be helpful.
Diabetes. This is one of the illnesses that can cause ED in some men. In most cases, medical treatment can help. Less is known about how diabetes affects sexuality in older women. Women with diabetes are more likely to have vaginal yeast infections, which can cause itching and irritation and make sex uncomfort­able or undesirable. Yeast infections can be treated.
Heart disease. Narrowing and hardening of the arteries can change blood vessels so that blood does not flow freely. As a result, men and women may have problems with orgasms, and men may have trouble with erections. People who have had a heart attack, or their partners, may be afraid that having sex will cause another attack. Even though sexual activity is generally safe, always follow your doctor’s advice. If your heart problems get worse and you have chest pain or shortness of breath even while resting, talk to your doctor. He or she may want to change your treatment plan.
Incontinence. Loss of bladder control or leaking of urine is more common as we grow older, especially in women. Extra pressure on the belly during sex can cause loss of urine, which may result in some people avoiding sex. This can be helped by a change in positions. The good news is that incontinence can usually be treated.
Stroke. The ability to have sex is sometimes affected by a stroke. A change in positions or medical devices may help people with ongoing weakness or paralysis to have sex. Some people with paralysis from the waist down are still able to experience orgasm and pleasure.
Depression. Lack of interest in activities you used to enjoy, such as intimacy and sexual activity, can be a symptom of depression. It’s sometimes hard to know if you’re depressed. Talk with your doctor. Depression can be treated.
Surgery. Many of us worry about having any kind of surgery—it may be even more troubling when the breasts or genital area are involved. Most people do return to the kind of sex life they enjoyed before surgery.
Hysterectomy is surgery to remove a woman’s uterus. Often, when an older woman has a hysterectomy, the ovaries are also removed. The surgery can leave both women and men worried about their sex lives. If you’re afraid that a hysterectomy will change your sex life, talk with your gynecologist or surgeon.
Mastectomy is surgery to remove all or part of a woman’s breast. This surgery may cause some women to lose their sexual interest or their sense of being desired or feeling feminine. In addition to talking with your doctor, sometimes it is useful to talk with other women who have had this surgery. Programs like the American Cancer Society’s (ACS) “Reach to Recovery” can be helpful for both women and men. If you want your breast rebuilt (reconstruction), talk to your cancer doctor or surgeon.
Prostatectomy is surgery that removes all or part of a man’s prostate because of cancer or an enlarged prostate. It may cause urinary incontinence or ED. If removal of the prostate gland is needed, talk to your doctor before surgery about your concerns.
Medications. There are many drugs can cause sexual problems. These include some blood pressure medicines, antihistamines, antidepressants, tranquilizers, appetite suppressants, drugs for mental problems, and ulcer drugs. Some can lead to ED or make it hard for men to ejaculate. Some drugs can reduce a woman’s sexual desire or cause vaginal dryness or difficulty with arousal and orgasm. If the cause of a man or woman’s sexual problem is related to a medication, the doctor can usually reduce the dosage of the medication, change the medication that doesn’t have the side effect of sexual problems, or may even allow the patient to discontinue the medication for a short period of time, i.e., drug holiday, to allow the man or woman to enjoy intimacy without completely discontinuing the medication.
Alcohol. Too much alcohol can cause erection problems in men and delay orgasm in women.
Safe Sex Is For Seniors Too
Age does not protect you from sexually transmitted diseases. Older people who are sexually active may be at risk for diseases such as syphilis, gonorrhea, chlamydial infection, genital herpes, hepatitis B, genital warts, and trichomoniasis.
Almost anyone who is sexually active is also at risk of being infected with HIV, the virus that causes AIDS. The number of older people with HIV/AIDS is growing. You are at risk for HIV/AIDS if you or your partner has more than one sexual partner or if you are having unprotected sex. To protect yourself, always use a condom during sex. For women with vaginal dryness, lubricated condoms or a water-based lubricating jelly with condoms may be more comfortable. A man needs to have a full erection before putting on a condom.
Talk with your doctor about ways to protect yourself from all sexually transmitted diseases. Go for regular checkups and testing. Talk with your partner. You are never too old to be at risk.
What Can A Couple Do?
There are things you can do on your own for an active sexual life. Make your partner a high priority. Take time to enjoy each other and to understand the changes you both are facing. Try different positions and new times, like having sex in the morning when you both may be well-rested. Don’t hurry—you or your partner may need to spend more time touching to become fully aroused. Masturbation is a sexual activity that many older people, with and without a partner, find satisfying.
Don’t be afraid to talk with your doctor if you have a problem that affects your sex life. He or she may be able to suggest a treatment. For example, the most common sexual difficulty of older women is painful intercourse caused by vaginal dryness. Your doctor or a pharmacist can suggest over-the-counter vaginal lubricants or moisturizers to use. Water-based lubricants are helpful when needed to make sex more comfortable. Moisturizers are used on a regular basis, every 2 or 3 days. Or, your doctor might suggest a form of vaginal estrogen.
If ED is the problem, it can often be managed and perhaps even reversed. There are pills, Viagra, Levitra, Cialis, and now Stendra, that can help. They should not be used by men taking medicines containing nitrates, such as nitroglycerin. The pills do have possible side effects. Other available treatments include vacuum devices, self-injection of a drug, or penile implants.
Physical problems can change your sex life as you get older. But, you and your partner may discover you have a new closeness. Talk to your partner about your needs. You may find that affection—hugging, kissing, touching, and spending time together—can make a good beginning.
Bottom Line: Sex is good at 20-30, better at 30-40, and can be best of all after age 60. Intimacy is just as important as we age as when we were younger. Help is available; don’t be afraid to ask your doctor.

What Culprits Send Cupid Out of the Bedroom?

February 14, 2014

Today is Valentine’s Day, the day that couples think about love and intimacy. However, there are relationships where love and affection have left the bedroom. There are many culprits that can affect intimacy between a man and a woman.

Medications

There are literally hundreds of medications that can impact a man or a woman’s sex life. Medications that are prescribed for stroke and heart issues can have devastating effects on sexual functioning. In addition, researchers have found that a family of antidepressants known as selective serotonin-reuptake inhibitors (SSRI) can take the wind right out of your sexual sails. These drugs include Prozac, Zoloft and Paxil.

Doctors can often reduce the dosage of these offending drugs or can change to another drug that can accomplish the same result without the sexual side effects.

Chronic Pain

People of both sexes can develop pain disorders as they get older, and that can have a big effect on sexuality. Arthritis and chronic back pain are just two examples. Those who suffer from chronic pain are advised to find the time of day when pain is at a minimum to engage in sexual intimacy. Also, those who suffer from chronic pain may need to take a pain pill before attempting to have sex. There are positions such as side by side that actually put the least amount of stress on your joints and your back and may make it possible to have successful intimacy.

Sex does not always equal intercourse. There are many successful relationships that do not have penis-vaginal intercourse. However, these people are able to engage in intimacy by sensual touching, massage and mutual masturbation.

Make Time for Rest and Play

The National Sleep Foundation recommends getting seven to eight hours of shut-eye a night. But with the stress of work, kids, bills and, oh yeah, your marriage, who can think about fitting in time to have sex, much less sleep? Still, you have to do your best to get a healthy amount of sleep.

Cupid likes to be included on regular dates. Plan some sex dates around times that you know you feel more energetic. You plan other things in your life and you don’t complain about it. You can do the same with sex.

Menopause and Testosterone Deficiency

Menopause and the accompanying decrease in sex drive and the appearance of vaginal dryness can wreak havoc on your sex life. Menopause results from a decrease in estrogens. The solution is as simple as applying a vaginal cream or a lubricant such as K-Y jelly or estrogens, which can be administered by a pill, a patch, topical gels, or a vaginal ring.

If you aren’t in the mood, you may be suffering from testosterone deficiency. This applies to women as well as men. Women also make low doses of testosterone and if the hormone is deficient, women may not be in the mood for sexual intimacy. The application of a topical gel or the insertion of a small pellet under the skin may quickly solve the problem of a lack of sex drive.

Bottom Line: Valentine’s Day is just one day a year. However, Cupid can be your best friend the other 364 days of the year. Try a few of these ideas to bring Cupid back into your bedroom. It’s the best threesome in the world!

This article appeared in the February 2014 issue of Health & Fitness Magazine

Hot Flashes? Exercise Your Way To Cool The Fire

January 20, 2013

Hot flashes are one of the most disturbing aspects of menopause. It makes women uncomfortable and can wreck havoc on their lives. This blog will describe how exercise can cool the hot flash.

Increased energy and a fit body are just a few of the benefits of exercising. There is another advantage of working out for women. For menopausal women who exercise, they experience fewer hot flashes in the 24 hours after physical activity.

Women who are inactive or obese are more likely to have a higher risk for hot Women in a study at Penn State had fewer hot flash symptoms following exercise. As well, women who were identified as overweight, had a lower level of fitness, or experienced more frequent or more intense hot flashes, sensed the smallest reduction in symptoms.

Bottom Line: Becoming and staying active on a regular basis as part of your lifestyle is the best way to ensure healthy aging and well being, regardless of whether you experience hot flashes or not.

The findings are published in the current issue of Menopause.

Brain Health and Your Blood Pressure-One More Reason To Check For and Treat Hypertension

Researchers at University of California, Davis found that high blood pressure could damage the brain’s structure and function in people as young as 40.

They found accelerated brain aging among hypertensive and prehypertensive individuals in their 40s, including damage to the structural integrity of the brain’s white matter and the volume of its gray matter.

This suggests that vascular brain injury develops insidiously over the lifetime with discernible effects. The study is the first to demonstrate that there is structural damage to the brains of adults in young middle age as a result of high blood pressure.

Structural damage to the brain’s white matter caused by high blood pressure has been associated with cognitive decline in older individuals.

The research emphasizes the need for lifelong attention to vascular risk factors for brain aging.

Normal blood pressure has a systolic blood pressure below 120, and a diastolic pressure below 80. Prehypertension blood pressure range is a top number between 120 and 139, and a bottom number between 80 and 89.

Elevated blood pressure affects about 50 million Americans and is associated with a 62 percent risk of cerebrovascular disease, and a 49 percent risk of cardiovascular disease.

The study says there is evidence that lowering blood pressure among people in middle age and in the young elderly can help prevent late-life cognitive decline and dementia.

Bottom Line: People can influence their late-life brain health by knowing and treating their blood pressure at a young age, when you wouldn’t necessarily be thinking about it.

For more information on women’s health, I suggest my new book, What’s Going On Down There-Everything You Need To KnowAbout Your Pelvic Health. the book is available from Amazon.com

New book on women's health

New book on women’s health