The Role Of Testosterone in Women

Testosterone, commonly associated with male physiology, is also produced in women’s ovaries and adrenal glands. It plays a significant role in:

• Sexual Health: Enhancing libido, sexual arousal, and satisfaction.
• Mood and Cognitive Function: Contributing to emotional well-being and mental clarity.
• Muscle and Bone Strength: Supporting muscle mass and bone density, reducing the risk of osteoporosis.
• Energy Levels: Influencing overall vitality, energy and stamina.

Testosterone levels naturally decline with age, and imbalances can lead to symptoms such as decreased libido, fatigue, and mood disturbances. In certain cases, testosterone therapy may be considered to alleviate these symptoms.

Estrogen: The Conerstone Of Female Health

Estrogen is pivotal in regulating the menstrual cycle and reproductive system. Its functions include:

• Reproductive Health: Controlling the menstrual cycle and supporting pregnancy.
• Bone Density: Maintaining strong bones and preventing osteoporosis.
• Cardiovascular Health: Promoting healthy blood vessels and heart function.
• Skin and Hair: Influencing skin elasticity and hair growth.

During perimenopause and menopause, declining estrogen levels can lead to symptoms like hot flashes, night sweats, and vaginal dryness. HRT can help mitigate these effects.

Progesterone: The Harmonizer

Progesterone works in tandem with estrogen to regulate the menstrual cycle and maintain pregnancy. Its roles encompass:

• Menstrual Regulation: Balancing estrogen’s effects and preparing the uterus for pregnancy.
• Mood Stabilization: Exerting calming effects and supporting sleep quality.
• Bone Health: Contributing to bone strength alongside estrogen.

In HRT, progesterone is often combined with estrogen to protect the uterus from potential risks associated with estrogen-only therapy.

Taking Hormonal Changes Across Life Stages

If you’re experiencing a persistent decrease in sexual desire that’s causing distress, it’s important to seek support. A healthcare professional can work with you to determine the underlying causes and develop a personalized treatment plan.

• Puberty and premenopause (ages 10-40): Hormone levels fluctuate during the menstrual cycle, affecting mood, energy, and reproductive health.
• Perimenopause (ages 40-50): Hormonal shifts can lead to irregular periods, mood swings, and sleep disturbances.
• Menopause (ages 50 and up): Significant declines in estrogen, progesterone, and testosterone can result in various symptoms, including hot flashes, decreased libido, and bone density loss.

Understanding these changes is crucial for managing symptoms and maintaining quality of life.

Conclusion

Testosterone, estrogen, and progesterone each play integral roles in women’s health. Recognizing the importance of testosterone alongside the other hormones is essential for a comprehensive approach to well-being. If you’re experiencing symptoms related to hormonal imbalances, consult with a healthcare provider specializing in HRT to explore personalized treatment options.

The post Breaking The Cycle: Transforming Fatigue into Energy with Hormonal Insight appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

As an OB/GYN specializing in hormone replacement therapy (HRT), I often hear from patients who are concerned about a decline in their sexual desire. It’s important to understand that fluctuations in libido are common and can result from a combination of physical, emotional, and hormonal factors.

Understanding the Causes

Several factors can contribute to a decrease in sexual desire:

• Hormonal Changes: Fluctuations in estrogen and testosterone levels, especially during perimenopause and menopause, can impact libido.

• Psychological Factors: Stress, anxiety, depression, and past traumas can affect sexual desire.

• Physical Health: Chronic illnesses, fatigue, and certain medications, including antidepressants and hormonal contraceptives, may lower libido.

• Relationship Dynamics: Emotional closeness, unresolved conflicts, and communication issues with a partner can influence sexual interest.

Exploring Solutions

Addressing low libido often involves a multifaceted approach:

• Medical Evaluation: Consulting a healthcare provider can help identify underlying medical or hormonal issues contributing to decreased sexual desire.

• Therapy and Counseling: Engaging in individual or couples therapy can address psychological factors and improve relationship dynamics.

• Lifestyle Modifications: Regular exercise, adequate sleep, stress management, and a balanced diet can positively affect libido.

• Medications: In some cases, medications like flibanserin (Addyi) or bremelanotide (Vyleesi) may be prescribed for premenopausal women experiencing hypoactive sexual desire disorder.

Hormone Replacement Therapy (HRT)

For women experiencing low libido due to hormonal changes, HRT can be an effective treatment option:

• Estrogen Therapy: Helps alleviate vaginal dryness and discomfort during intercourse, enhancing sexual satisfaction.

• Testosterone Therapy: Though not FDA-approved for women in the U.S., low-dose testosterone therapy has been shown to improve sexual desire in postmenopausal women.

It’s crucial to discuss the potential benefits and risks of HRT with your healthcare provider to determine the most appropriate treatment for your individual needs.

Taking the Next Step

If you’re experiencing a persistent decrease in sexual desire that’s causing distress, it’s important to seek support. A healthcare professional can work with you to determine the underlying causes and develop a personalized treatment plan.

The post What Happened To My Sex Drive? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Feeling persistently tired is a common complaint among women, and as an OB/GYN with 30 years of experience, I’ve found that hormonal imbalances often play a significant role. However, fatigue can also stem from various other factors. Let’s delve into the potential causes and explore ways to address them.

Hormonal Factors

Hormones regulate numerous bodily functions, and imbalances can lead to fatigue:

• Estrogen and Progesterone: Fluctuations during perimenopause and menopause can disrupt sleep patterns and energy levels.

• Thyroid Hormones: Hypothyroidism, characterized by low thyroid hormone levels, slows metabolism, leading to fatigue and weight gain.

• Cortisol: Chronic stress can elevate cortisol levels, disrupting sleep and causing persistent tiredness.

• Testosterone: Though often associated with men, women also produce testosterone. Low levels can contribute to decreased energy and motivation.

Other Medical Conditions

Several health issues can cause fatigue:

• Anemia: Iron deficiency reduces oxygen transport in the body, leading to exhaustion.

• Vitamin Deficiencies: Low levels of Vitamin D or B12 can result in decreased energy.

• Chronic Fatigue Syndrome: A complex disorder characterized by extreme fatigue that doesn’t improve with rest.

• Sleep Disorders: Conditions like sleep apnea interrupt sleep, leading to daytime drowsiness.

Lifestyle and Psychological Factors

Daily habits and mental health significantly impact energy levels:

• Poor Sleep Hygiene: Irregular sleep schedules and screen time before bed can impair sleep quality.

• Diet and Hydration: Inadequate nutrition and dehydration can cause sluggishness.

• Lack of Exercise: Physical inactivity can lead to decreased stamina.

• Mental Health: Depression and anxiety often manifest as fatigue.

Addressing Fatigue

If you’re experiencing persistent tiredness, consider the following steps:

• Medical Evaluation: Consult with a healthcare provider to assess for hormonal imbalances or other medical conditions.

• Lifestyle Modifications: Establish regular sleep patterns, maintain a balanced diet, stay hydrated, and incorporate physical activity into your routine.

• Stress Management: Practice relaxation techniques such as meditation, deep breathing, or yoga.

• Mental Health Support: Seek counseling or therapy if emotional factors contribute to your fatigue.

Understanding the root cause of your fatigue is essential for effective treatment. With proper evaluation and targeted interventions, it’s possible to restore energy levels and improve overall well-being.

The post Why Am I Always Tired? Exploring Hormonal and Other Causes appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Hormone Replacement Therapy (HRT) is a treatment used to relieve symptoms of menopause by replenishing estrogen and progesterone levels that decline during this phase. As an OB/GYN, I aim to provide you with comprehensive information to help you make informed decisions about HRT.

What is Hormone Replacement Therapy?

HRT involves supplementing the body with estrogen or a combination of estrogen and progesterone and testosterone to alleviate menopausal symptoms and prevent bone loss.

Benefits of HRT

HRT offers several benefits:

• Relief from menopausal symptoms such as hot flashes, night sweats, vaginal dryness, and mood swings.

• Prevention of bone loss, reducing the risk of osteoporosis and fractures.

• Potential reduction in the risk of heart disease and colon cancer when started within 10 years of menopause onset or before age 60.

Risks and Considerations

While HRT has benefits, it’s essential to consider potential risks:

• Slightly increased risk of breast cancer with combined estrogen-progestin therapy.

• Increased risk of blood clots and stroke, particularly with oral HRT.

• Estrogen-only therapy can increase the risk of endometrial cancer in women with an intact uterus; adding progesterone mitigates this risk.

Discussing your personal and family medical history with your healthcare provider is crucial to determine if HRT is suitable for you.

Types of HRT

HRT can be administered in various forms:

• Oral tablets

• Skin patches

• Topical gels and creams

The choice depends on your symptoms, preferences, and medical history.

Who Should Consider HRT?

HRT is beneficial for:

• Women experiencing menopausal symptoms.

• Those with a significant risk of osteoporosis and heart disease.

• Women who have experienced premature menopause (before age 40).

However, HRT may not be recommended for women with a history of certain cancers, blood clots, liver disease, or unexplained vaginal bleeding.

Final Thoughts

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CAUSES AND RISK FACTORS

A clitoral adhesion happens when the protective fold that conceals the clitoris becomes stuck to the exposed portion of the clitoris. Known as the clitoral hood, this fold protects the tender, delicate flesh of the clitoris from exposure to friction and bacteria. Here’s a rundown of the factors that can cause the hood to become stuck to the clitoris.

Lichen Sclerosus and Lichen Planus

Both lichen sclerosus and lichen planus belong to a family of noncommunicable inflammatory skin conditions. People with these conditions generally experienced thick, stiff, or “leathery” skin. The primary symptom with lichen planus is a rash-like presentation anywhere on the body. The rash can even occur in the genitals. Meanwhile, lichen sclerosus exclusively affects the genitals and anal area. We also know that postmenopausal women are at higher risk for developing lichen sclerosus.

Lichen sclerosus and lichen planus contribute to clitoral adhesions by thinning and scarring skin on the clitoral hood. The underlying cause for these conditions isn’t fully known. However, factors ranging from genetics to immune response are believed to be in play.

Hormonal Changes

Hormonal changes that occur with age or changes in sexual health can contribute to clitoral adhesions. This may be why adhesions are often seen in women during menopause. In these situations, dipping estrogen is the key driver of adhesions because of the loss of natural moisture and elasticity.

Trauma

Scarring caused by surgery, illness, or a traumatic injury can increase your vulnerability to clitoral adhesions. When vaginal tissue is damaged, the scar tissue that forms can be rough or irregular in nature. Scar tissue is also more likely to “fuse together” as it heals.

Bad Hygiene

Hygiene habits can irritate or inflame the skin of the clitoral hood and clitoris. Poor hygiene practices or infrequent bathing could allow for stool contamination that causes infection or inflammation of clitoral tissue. Even women who are vigilant about their personal hygiene could inadvertently increase their risk for adhesions by using products containing harsh additives or fragrances that irritate sensitive vaginal tissue.

DO I HAVE CLITORAL ADHESIONS?

Clitoral adhesions have been found in up to 22% of women seeking evaluation for sexual dysfunction. If you suspect adhesions, an in-person exam with a care provider is the only way to confirm your diagnosis. Here are some telltale signs that should prompt you to book an exam.

Pain

Pain and discomfort are the top symptoms of clitoral adhesions. In addition to acute pain, you may experience hypersensitivity or irritation. It’s also common for the dry, thick scar tissue connecting the hood and clitoris to be itchy.

Discomfort During Sex

Pain during sexual intercourse or other activities that stimulate the clitoris is also common. The clitoris is likely to feel raw and tender.

Inability to Fully Expose the Clitoris

When an adhesion is present, it often becomes impossible to retract the clitoral hood to expose the clitoris. In addition, the entire area may be too swollen for you to retract the hood.

Increased or Decreased Sensitivity

Many women with adhesions experience dulled sensation during clitoral stimulation. This can greatly decrease both arousal and the ability to achieve orgasm. In other cases, hypersensitivity that increases clitoral sensitivity can make sexual contact overstimulating.

RELATED: What is Vulvar Vestibulitis? Symptoms, Causes, Misdiagnosis, and Treatment

TREATMENT OPTIONS FOR CLITORAL ADHESIONS

Many minimally invasive options can be used to heal clitoral adhesions. However, severe adhesions may require surgical separation.

Nonsurgical Lysis

In many cases, adhesions can be separated without the need for surgery. Using nonsurgical lysis, your doctor will use specialized forceps to separate the hood and clitoris after applying a topical numbing agent. Once separated, the hood will be gently stretched to knead out adhesions. Research on nonsurgical lysis for treating adhesions shows that 93% of participants would recommend this procedure to a friend with the same condition.

Hormonal Therapy

Hormonal therapy that boosts estrogen levels can be used to restore natural vaginal lubrication. In some cases, addressing dryness and “thinning” of vaginal tissue can be enough to heal adhesions.

Shockwave Therapy

Shockwave therapy has long been used for scar and wound healing throughout the body. It works by increasing blood flow to scar tissue that is starved of the nutrients needed for cell turnover. With repeated shockwave treatments, increased blood flow helps to promote cellular regeneration that helps to break up adhesions.

Topical Creams

With mild to moderate adhesions, topical creams can help to soothe and moisturize scar tissue that has turned dry and scaly. By softening the clitoral hood, creams allow you to gently separate the hood from the clitoris without tearing. Additionally, topical treatments can help to moisturize the hood to reduce the likelihood of future adhesions.

Surgery

Surgical lysis to remove adhesions is often recommended for more severe cases. During this procedure, adhesions are surgically separated. Any scar tissue that is still attached to the clitoris and hood is cleaned away. Depending on the extent of the scar tissue present, an incision may be made in the hood to clear out scarring in order to reduce the likelihood of a future adhesion.

Living with painful adhesions dramatically reduces quality of life and sexual satisfaction. Treating adhesions before they worsen is important. If you suspect that scarring is the cause of the discomfort, pain, or unexplained decrease in sexual satisfaction you’re experiencing, speak with Dr. Michael Tahery about treatment options. Specializing in women’s health and offering noninvasive surgical options, Dr. Tahery is an esteemed Los Angeles obstetrician-gynecologist (OB-GYN) and urogynecologist with more than 21 years of experience. Book an appointment today.

The post What Are Clitoral Adhesions? Symptoms and Treatment appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Symptoms of Low Estrogen

Low estrogen can impact everything from menstrual health to the way we sleep. While estrogen production is naturally reduced as we age as a part of menopause, some women experience dramatic symptoms that reduce their quality of life. However, various factors can cause some women to experience dips in estrogen production earlier in life. This can include everything from certain medical treatments to eating disorders.

Vaginal Dryness

When estrogen dips, the vaginal walls actually “thin out.” That’s because estrogen helps to maintain the thickness and elasticity of the walls of the vagina. Estrogen also produces natural lubrication. Thinning vaginal walls result in fewer cells that are capable of producing moisture, therefore causing vaginal dryness.

Mood Swings

Yes, low estrogen can make you moody. While the physical manifestations of low estrogen levels can be difficult to live with, many women find the mood swings and emotional instability that accompany low estrogen to be the most disruptive. Dipping hormone levels may make you feel depressed, anxious, snappy, or unable to cope with challenges.

Fatigue

Did you know that estrogen actually plays an important role in regulating the brain? One of the most notable roles of estrogen is the way it helps to regulate cortisol signaling. When estrogen decreases, the unregulated release of cortisol can increase the body’s stress response to leave you in a constant state of fatigue. It can be like your body’s “alarm bells” are going off 24 hours a day. It’s common for women with low estrogen to feel like they are dragging themselves through the day. They may also suffer from midday energy crashes or fall asleep hours earlier than their usual bedtimes.

Hot Flashes and Night Sweats

Sweating and overheating are two of the most unpleasant symptoms of low estrogen. In addition to being unpleasant on their own, hot flashes and sweating also commonly cause sleep disturbances. When combined with mood swings and hormone-related fatigue, poor sleep can feel like the final straw that makes life overwhelming. Changing estrogen levels can essentially rewire a region of the brain called the hypothalamus that helps to regulate body temperature. A dip in estrogen triggers the hypothalamus to be more sensitive to temperature changes that are perceived by the body. As a result, the hypothalamus overcompensates by activating sweating at times when you may not feel warm at all.

Irregular or Absent Menstrual Cycles

While all of the other symptoms of low estrogen may be present, it’s usually changes in menstruation that finally make women realize that something is going on with their hormone levels. Low estrogen can cause missed periods or irregular periods. Depending on your age, absent or erratic periods could either indicate menopause or a medical condition that’s preventing your ovaries from producing adequate estrogen levels.

Vaginal Atrophy

It’s common for women with symptoms of low estrogen to experience dramatic changes in sexual health. Vaginal atrophy is caused by a thinning of the lining of the vagina due to low estrogen. The reduction in vaginal fluid that occurs when estrogen dips can also change the acid balance within the vagina. You may notice that your vagina feels more fragile and less “stretchy.” The vaginal canal can also shorten.

Infertility

If you’ve been struggling to conceive, it’s important to consider that reduced or absent fertility can be one of the symptoms of low estrogen. Low estrogen in women can inhibit infertility in a number of ways. First, it makes it difficult for the ovaries to release eggs during the fertile window known as ovulation. Even women who do release eggs may have thinning uterine lining that cannot support an embryo. In addition, short menstruation cycles caused by low estrogen can also result in immature eggs that aren’t as likely to be successfully fertilized.

RELATED: Hormones in Perimenopausal and Menopausal Women

Low Estrogen Treatment

There are many different ways to treat low estrogen in women today. Treatments are often tailored based on the underlying causes of hormonal imbalance and the nature of the symptoms being experienced. It’s important to work with an experienced obstetrician-gynecologist (OB-GYN) and women’s health expert to ensure that you’re getting personalized care with access to the full scope of cutting-edge, noninvasive treatments available. Here’s a look at what an approach to treating symptoms of low estrogen might entail.

Hormone Replacement Therapy

Hormone replacement therapy (HRT) is commonly used to treat low estrogen during menopause and postmenopause. It is one of the fastest ways to relieve vaginal dryness, hot flashes, and other disruptive symptoms. Many ways of taking hormones including pills, patches, creams, and pellets are available. Hormone replacement therapy has been proven by many years of research to be safe and effective, extending health, longevity, and resilience. 

Lifestyle Changes

Low estrogen in women can be at least partially managed by maintaining a healthy weight, staying active with regular exercise, and managing stress levels. Diets that are rich in healthy fats and fiber may be beneficial for hormonal balance. Some women may also benefit from eating estrogen-rich foods or taking supplements that support estrogen production.

Underlying Conditions Treatment

Low estrogen symptoms in women can sometimes be managed by addressing autoimmune disorders or vitamin deficiencies. Additionally, estrogen levels can be affected by genetic disorders, eating disorders, polycystic ovary syndrome (PCOS), and thyroid disorders.

Dr. Michael Tahery is a Board-Certified Obstetrician Gynecologist (OB/GYN) and Urogynecologist specializing in women’s health with a focus on hormonal balance in Glendale and the Los Angeles area. Call today for a consultation.

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Symptoms of Female Infertility

The most obvious symptom of infertility is an inability to become pregnant. Diagnosis criteria can be met when attempting to become pregnant with frequent, unprotected sex for at least a year (six months after age 35) unsuccessfully. However, even someone who isn’t actively attempting to become pregnant at the moment may notice signs of infertility. An irregular menstrual cycle that is either too long or too short can also be a telltale sign. Finally, an absent or unpredictable menstrual cycle can indicate that ovulation isn’t taking place. Some women don’t experience any signs of infertility.

Causes of Infertility in Women

Infertility is a complex issue that can have many causes. It’s important to note that infertility is not just a female problem. It’s estimated that female infertility is the cause of 37% of couples experiencing infertility. Age can be a factor for many couples. Accelerated ovarian aging following age 35 is known to contribute to reduced fecundity that is associated with reduced ovarian reserve. As a woman ages, dwindling follicle reserve combined with the accumulation of DNA damage stemming from a lifetime of genotoxic exposure and oxidative burden can reduce fertility.

Fertility care is constantly evolving as the medical world learns more about the underlying mechanisms that contribute to the causes of female infertility. In recent years, the impact of cell-regulating proteins called sirtuins (SIRTs) has gained attention. SIRTs are involved in regulating cellular processes that include cell aging, cell death, and stress resistance. They’re also indicated in cellular homeostasis, energy metabolism, and apoptosis. Here’s a look at the leading causes of female infertility:

• Ovulatory disorders (25%): This can include polycystic ovary syndrome (PCOS), hypothalamic dysfunction affecting follicle-stimulating hormone (FSH) and luteinizing hormone (LH), and primary ovarian insufficiency.

•  Endometriosis (15%): Endometriosis is a condition that occurs when tissue that typically grows in the uterus implants and grows in other areas. Dense tissue growth can cause scarring that prevents the egg and sperm from meeting. In cases where egg and sperm do meet, endometriosis can disrupt implantation.

• Tubal blockage (11%): Blocked or damaged fallopian tubes can block passage of ovulatory or fertilized eggs. Tubal impairment can stem from a wide range of causes that can include previous abdominal or pelvic surgeries, pelvic inflammatory disease, and STIs.

•  Hyperprolactinemia (7%): Marked by excessive prolactin in the blood, this condition is most commonly caused by a benign tumor in the pituitary gland. It can also be triggered by certain medications, underlying health conditions, or random and unexplained causes. Hyperprolactinemia is considered one of the most treatable causes of female infertility.

•  Pelvic adhesions (12%): Pelvic adhesions occur when scar tissue causes the surfaces of organs to fuse together. Infertility-associated adhesions are commonly found in the uterus and cervix. Causes include endometriosis, pelvic infections, STIs, and past abdominal or pelvic surgeries.

• Other tubal/uterine abnormalities (11%): Abnormalities can be caused by both genetic issues and injuries/surgical scarring. For example, a narrow or malformed uterus can make implantation more difficult.

RELATED: Fertility After 35

Female Infertility Treatment

For the millions of people struggling to conceive, female infertility treatments can provide a bright light on the journey to parenthood. The first step in any infertility treatment is diagnosing the underlying causes of female infertility that could be in play for a particular patient. From there, the pathway to treatment is highly individualized based on the health factors and personal goals in mind. It may be determined that surgery for correcting pelvic adhesions, scar tissue, fibroids, endometriosis, or polyps is necessary to increase the odds of pregnancy. Removing barriers to implantation can sometimes be enough to achieve natural pregnancy without further intervention.

In some cases, triggering ovulation using infertility drugs that mimic FSH and LH may be enough to facilitate a healthy pregnancy. Other patients may require intrauterine insemination (IUI) in order to achieve fertilization during ovulation. For patients who don’t find success with female infertility drugs or IUI alone, in vitro fertilization (IVF) that harvests mature eggs to create an embryo for transfer into the uterus is the next recommended step for some causes of female infertility.

Dr. Michael Tahery is a board-certified obstetrician-gynecologist (OB/GYN) and urogynecological surgeon in Los Angeles. Specializing in fibroid tumors, endometriosis, and pelvic pain, Dr. Tahery is committed to helping his patients find the right female infertility treatments to help them get the best outcomes possible. Treatments that address female infertility are also essential for improving overall health and quality of life. If you’ve been struggling to get pregnant don’t hesitate to book a consultation with Dr. Tahery. Contact our office today!

The post What Causes Female Infertility? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

SYMPTOMS AND DIAGNOSIS OF VAGINA ATROPHY

How can you know if the symptoms you’re experiencing are caused by vaginal atrophy? It’s actually quite common to confuse symptoms of vaginal atrophy with symptoms of a yeast infection. Treatments for yeast infections won’t work for vaginal atrophy because this condition is caused by a lack of estrogen instead of a fungal infection. Of course, it’s always important to rule out a yeast infection with help from a medical provider before assuming that your symptoms are caused by vaginal atrophy. Here’s a look at vaginal atrophy symptoms:

• Vaginal dryness.
• Vaginal burning.
• Burning during urination.
• A sense of urgency during urination.
• Changes in vaginal discharge.
• Genital itching
• Recurrent urinary tract infections (UTIs).
• Light bleeding after intercourse.
• Painful or uncomfortable intercourse.
• Decreased vaginal lubrication during sexual activity.
• Tightening of the vaginal canal.

RELATED: Why Is My Labia Shrinking?

It’s not necessary to experience all symptoms to be diagnosed with vaginal atrophy. In many cases, women only experience the symptoms of burning, dryness, and itching. A pelvic exam is generally needed to confirm a diagnosis of vaginal atrophy. During your examination, your healthcare provider will be looking for signs of swelling, redness, vulvar lesions, lacerations near the vaginal opening, sparse pubic hair, narrowing of the vagina, and other telltale signs that you’re in a state of decreasing estrogen levels. Urine and fluid analysis may also be used.

VAGINAL ATROPHY TREATMENT

Many women never talk to their care providers about vaginal atrophy because they assume that nothing can be done to mitigate the age-related effects of diminishing estrogen levels. In reality, there are several treatment options available to help restore comfort and function. Speaking to your care provider as soon as you notice symptoms of vaginal atrophy is important because early treatment can prevent your vaginal atrophy from worsening. Vaginal dryness increases as the body goes without estrogen. This means that your condition is likely to get worse with time. In some cases, atrophy becomes so severe that the vaginal opening narrows dramatically. Trying to correct atrophy one significant symptoms are present can be much more challenging than treating early symptoms. Next, take a look at the three most common treatments for vaginal atrophy.

Hormone Therapy

A number of different hormonal therapies are available for treating vaginal atrophy. Topical estrogen is available in creams, rings, tablets, and suppositories. Hormone replacement therapy (HRT) is another option. Your care provider will discuss the pros and cons of various hormonal therapies based on your age, symptoms, and health history.

Laser Treatment

Laser treatments or vaginal rejuvenation for reducing vaginal dryness are becoming increasingly popular among women seeking non-hormonal treatments for atrophy. Lasers stimulate circulation, cellular activity, and healing that help to restore vaginal tissue to original levels. This non-invasive, surgery-free option triggers vaginal tissue’s self-healing, self-restorative properties.

RELATED: Frequently Asked Questions About Labia Majoras Puffing

Lifestyle Changes

Lifestyle changes shouldn’t be underestimated when talking about vaginal atrophy treatment options. There are many things women can do to reverse vaginal atrophy symptoms without medical intervention. Here are some tips:

• Kegel exercises performed on a regular basis can help to prevent the thinning and shrinking of vaginal tissue. Kegels can be especially effective for women suffering from urinary symptoms associated with the condition. These simple exercises involve repetitive tightening and loosening of pelvic floor muscles.
• Frequent sex can help to prevent vaginal atrophy. Regular sexual activity helps to keep vaginal tissue healthy by increasing blood flow to the vagina.
• Quitting smoking can help to resolve vaginal atrophy. Cigarette smoking restricts blood circulation to the vagina. In addition, smoking reduces the effects of the body’s estrogen levels.
• Regular exercise can be helpful for keeping blood flow in the genital area high.

If you’re struggling with symptoms of vaginal atrophy, reach out to the offices of Dr. Tahery to learn about vaginal atrophy treatment options that can help you feel like yourself again. Located in Los Angeles, Dr. Michael Tahery is a board-certified OB/GYN and female hormone specialist offering patients more than two decades of experience. Our office can address your unique needs to help you develop a vaginal atrophy treatment plan that allows you to live without pain and discomfort. Call today to schedule an appointment!

The post What Are The Vaginal Atrophy Treatment Options? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Not to be confused with premenopause, perimenopause affects all women differently. Some will notice changes in their 30s. However, others may go through this stage for only a few months before reaching menopause.

Either way, the body’s production of estrogen rises and falls unevenly. As a result, women experience a wide range of perimenopause symptoms. Fortunately, treatment options are available to ease the transition. Here are some of the most common symptoms women can experience:

Irregular Periods

Erratic periods are standard during perimenopause. Ovulation becomes more unpredictable, leading to changes in the flow and length of periods. The space between periods can vary as well.

The changes can be so significant that some women assume they have entered menopause. Despite the drop in fertility, it’s still possible to get pregnant during perimenopause. It’s only when a period doesn’t occur for 12 months that doctors typically diagnose full menopause.

A specialist may recommend treatment options if symptoms begin to interfere with daily life. These may include hormone therapy, lifestyle changes, and more.

RELATED: 4 Common Reasons You Might Be Experiencing Irregular Periods

Hot Flashes

Hot flashes are an infamous sign of menopause. However, these bouts of sudden body heat can occur during perimenopause, too. They’re one of the most common symptoms, affecting more than two-thirds of women heading into menopause.

Characterized by an intense wave of heat over the face, neck, and chest, hot flashes can result in profuse sweating and sleeping issues. The frequency and severity of hot flashes vary based on the hormonal changes within.

Luckily, a specialist can help manage hot flashes with hormone treatments like birth control, patches, gels, and more.

Mood Swings

Not all perimenopause symptoms are physical. In many cases, the transitional period causes noticeable emotional instability. Sometimes called “Perimenopause Rage,” these mood swings differ from standard anger or frustration.

Some women describe it as a sudden shift to intense irritation, resentment, or a lack of patience.

Mood swings occur for a variety of reasons. They could be a product of sleep disruption from hot flashes or outside factors. Internally, there’s a chemical reason for the emotional shift.

Estrogen impacts the release of serotonin, the body’s mood regulator hormone. With erratic estrogen production, serotonin levels become unstable. With time lost symptoms improve as the body adjusts to a low hormonal environment.

RELATED: Menopause and Brain Fog

Weight Gain

Weight fluctuations are prevalent in perimenopausal women. Studies suggest that lower estrogen levels change how the body stores fat. Throughout the reproductive stage, women store fat in the hips and thighs. It’s subcutaneous fat, which is usually harmless and doesn’t increase one’s risk of disease.

However, during perimenopause, the dip in estrogen causes the body to store fat in the belly area. It takes the form of visceral fat. Unfortunately, visceral fat comes with higher risks of heart disease, insulin resistance, and a range of health problems.

Of all the perimenopause symptoms, this is one that many women overlook. A crucial part of treatment is to adopt a healthier lifestyle to combat weight gain.

RELATED: Weight management in Los Angeles

Vaginal Dryness

The vaginal tissue can suffer significantly during perimenopause. Estrogen is a vital hormone that governs vaginal elasticity and natural lubrication. When this hormone’s presence in the body decreases, dryness occurs, and vaginal tissue thins. 

The dehydration is not just limited to the vaginal tissue. Many women experience it on the face and other parts of the body as well. However, vaginal dryness can affect sexual health and comfort. Furthermore, a lack of moisture and resilience may make women more vulnerable to vaginal and bladder infections. 

Vaginal dryness is one of those perimenopause symptoms that many women don’t bring up to their specialist. But, there are plenty of treatment options to stave off the effects of hormonal changes.

If you notice any of these perimenopause symptoms, go to a specialist like Dr. Tahery for professional care. Dr. Michael Tahery is a urogynecologist who specializes in both women’s health and urology. He’s spent the last two decades helping women in the Los Angeles area manage this life change. Call us today to schedule an appointment.

The post Are You Experiencing Perimenopause Symptoms? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

A standard menstrual cycle can range from 21 to 35 days. Meanwhile, the period itself lasts four to seven days. Every woman’s biological process is different. However, most women know what to expect and when.

If things do not proceed as expected, it’s a cause for concern. Abnormal Uterine Bleeding includes everything from unusually light or heavy menstrual cycles and unorthodox timeframes to missing periods and unexpected pain.

Due to your menstrual cycle’s impact, there are many potential explanations for irregularities. Some are benign and easily remedied. However, others are far more pressing. Here are four of the most common causes for irregular periods.

Perimenopause

Perimenopause is a transitional period that can start several years before the last period. During this time, the body goes through many significant changes. While the effects aren’t as noticeable as menopause itself, perimenopause can influence the menstrual cycle. It turns once-regular periods into unpredictable occurrences.

Before entering perimenopause, hormonal fluctuations are relatively stable. Estrogen and progesterone levels rise and fall consistently with a woman’s cycle.

But during perimenopause, things become unpredictable. Hormones become more turbulent, which leads to irregular periods. Many women experience heavy menstrual cycles of varying lengths. Some also encounter sporadic timing that’s not consistent with their regular cycles.

On top of all that, perimenopause can cause additional symptoms. Some of the most common include hot flashes, mood changes, vaginal dryness, and sleeping difficulties.

RELATED: Are you experiencing perimenopause symptoms?

Polycystic ovary syndrome (PCOS)

PCOS is a hormonal disorder that can affect women of reproductive age. The exact cause of PCOS is unknown. However, research shows that genetics, insulin resistance, and inflammation come into play.

Women with PCOS produce higher levels of androgen, the “male hormone.” The excess androgen disrupts the menstrual cycle, resulting in irregular periods. It causes infrequency while also making it difficult for women to get pregnant.

Furthermore, the condition causes tiny fluid-filled sacs to develop in the ovaries. The sacs contain immature eggs that never reach maturity to trigger ovulation.

The condition causes a slew of symptoms. In addition to missed periods, it often causes heavy menstrual cycles due to the buildup of the uterine lining. Some women can also suffer from excessive hair growth, male pattern baldness, and acne.

Fibroids

Uterine fibroids are more common than most think. Approximately 70 percent of women in Los Angeles and beyond have fibroids.

Generally, fibroids are non-cancerous growths. There’s less than one percent chance of malignancy. Nonetheless, these tumors can cause several issues. The severity of a fibroid depends on its location and size. They can be less than an inch in diameter. However, some are capable of growing closer to the size of a grapefruit.

In addition to causing irregular periods, fibroids can cause lower back pain, leg pain, and discomfort during sex. Larger fibroids can also complicate pregnancies and impact fetal growth.

Endometriosis

Endometriosis is another widespread condition. This one affects approximately one out of every ten women. It can cause debilitating menstrual cramps and gastrointestinal pain. In many cases, it’s also to blame for heavy menstrual cycles and bleeding between periods.

The exact symptoms can vary from one woman to the next. It all depends on its severity and spread.

This health condition revolves around the endometrium, which is the tissue that lines the uterus and sheds with a regular period. When endometriosis occurs, that lining starts to develop outside the uterine cavity. It can grow around the fallopian tubes, on the intestines, and around other organs in the lower digestive tract.

Misplaced endometrium can wreak havoc on the body in many different ways. While there’s no permanent cure for endometriosis, it is manageable with some professional guidance.

RELATED: Endometriosis Diet: What To Eat and What to Avoid

If you’re experiencing irregular periods, seeking professional care is paramount. While not all causes are severe, heavy menstrual cycles, unusual timing, and unexpected pain could be a sign of trouble. The only way to know for sure is to visit a urogynecologist like Dr. Tahery.

Give the offices of Dr. Michael Tahery a call to schedule a consultation today. Dr. Tahery is a urogynecologist with more than 20 years of experience providing women’s health and wellness services to the Los Angeles area.

The post 4 Common Reasons You Might Be Experiencing Irregular Periods appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.