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By Daniela Dadurian, M.D. Question: What can I do for menopausal symptoms? Answer: For many women, menopause signifies much more than the end of menstruation and their childbearing years. It all too often raises fears of aging and drastic changes in physical and emotional well-being. Many women enter this stage of their life feeling ill-prepared to combat these changes. Perimenopause (the transition to menopause) and menopause represent the decline in hormone production as the ovaries cease regular monthly egg release (ovulation). As a result, women may experience to varying degrees many changes, including, but not limited to, hot flashes, night sweats, weight changes, skin and vaginal dryness, mood changes, bladder changes (symptoms of infection or leakage) and sleep disturbance. While these changes may be overwhelming, there are many positive steps one can take to help ease these symptoms. These include exercise; smoking cessation; healthy diet; vitamins and supplements; maintaining ideal weight; and medications, including hormone replacement. Hormone replacement therapy has been a controversial subject in the past, with concerns about safety and efficacy. However, in recent years, a more personalized and natural approach using bio-identical hormones has helped many women ease into menopause relatively seamlessly. With individualized testing and close … Continue reading →