When a woman has gone 12 months without a period – that’s the textbook definition of menopause. When I talk to women (lots of women!), it’s NEVER that simple… The hormonal changes of menopause sure don’t happen “12 months after the last period” – Perimenopausal women complain of sleepless nights, mood swings, irregular bleeding, night…

What exactly is it? In polite language, vague terms like “feminine rejuvenation” really just mean improving or reversing pelvic problems that occur with women throughout life. The medical reality is that difficulties with vaginal function, sexual health, and bladder control affect almost all women at some point. Really? Almost all women? Absolutely. Any woman who’s…

Vaginal dryness is surprisingly common at all ages. About 20% of women over 18 have dryness, about 30% suffer through it during the perimenopausal years and most women have dryness after menopause. And it’s not just during intercourse – it can be uncomfortable – irritated, dry, painful all the time like arthritis or other aging…

Q: Why aren’t more women in Bloomfield Hills treated with hormone replacement for menopause? A: I’ll tell you exactly why, and it’s a story that’s impacted countless women, including many right here in Bloomfield Hills and Birmingham, Michigan. Back in the 80s, I was in med school when treating menopause with hormone replacement therapy (HRT)…

GSM (genitourinary syndrome of menopause) affects women after menopause as the pelvic structures weaken with lost estrogen. Estrogen maintains healthy vaginal membranes, pelvic floors, and bladders. With estrogen gone, those tissues weaken and lose their normal function, leading to dryness, irritation, difficult or painful sex, and low sex drive. Vaginal problems plus weakening of the…