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 treated with hormone replacement for menopause? A: I’ll tell you exactly why, and it’s a story that’s impacted countless women. Back in the 80s, I was in med school when treating menopause with hormone replacement therapy (HRT) was becoming the standard of care. More than half of my classmates were…