Morning Light Exposure

• Why it matters: Exposure to natural sunlight in the morning helps regulate your circadian rhythm, which governs hormone production, including cortisol and melatonin.

• Action step: Spend 10–15 minutes outdoors shortly after waking, allowing sunlight to reach your eyes (without sunglasses) to signal your body that it’s time to start the day.

Nutrient-Dense Meals

• Why it matters: Consuming balanced meals rich in protein, healthy fats, and fiber stabilizes blood sugar levels and supports hormone production.

• Action step: Incorporate foods like eggs, leafy greens, avocados, and whole grains into your meals. For example, a breakfast of scrambled eggs with spinach and whole-grain toast provides a solid foundation.

Mindful Movement

• Why it matters: Engaging in moderate physical activity reduces stress hormones and enhances insulin sensitivity.

• Action step: Participate in activities like yoga, walking, or cycling for at least 30 minutes. These exercises promote hormonal balance without overtaxing your system.

 Prioritize Sleep

• Why it matters: Adequate sleep is crucial for hormone regulation, including those that control appetite and stress responses.

• Action step: Aim for 7–9 hours of quality sleep. Establish a calming bedtime routine, such as reading or taking a warm bath, and maintain a consistent sleep schedule.

Stay Hydrated

• Why it matters: Proper hydration supports metabolic processes and the elimination of toxins that can disrupt hormonal balance.

• Action step: Drink at least 8 glasses of water daily. Adding a slice of lemon can enhance flavor and provide additional benefits.

Stress Management

• Why it matters: Chronic stress elevates cortisol levels, which can interfere with other hormones.

• Action step: Incorporate stress-reducing practices such as deep breathing exercises, meditation, or journaling into your weekend routine.

 Consider Natural Supplements

• Why it matters: Certain supplements, like inositol and folic acid, have been shown to support hormonal health, particularly in conditions like PCOS and during perimenopause.

• Action step: Discuss with your healthcare provider the possibility of integrating supplements like OVARIAN BOOST, which combines these ingredients, into your regimen.

The post Weekend Reset: Natural Strategies to Balance Hormones and Boost Energy appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

The reality is, PCOS is one of the most prevalent yet frequently misunderstood hormonal disorders affecting women today. Its symptoms often mimic other conditions or are dismissed as normal variations, making diagnosis a complex and confusing journey.

In this blog, we’ll delve into the key features of PCOS, explore its various phenotypes, and discuss the importance of early recognition and management. Understanding these aspects can empower you to take proactive steps toward better health and well-being.

Key Diagnostic Features of PCOS

Diagnosing Polycystic Ovary Syndrome (PCOS) can be complex due to its varied presentation. The most widely accepted criteria for diagnosis are the Rotterdam Criteria, which require the presence of at least two of the following three features:

1. Hyperandrogenism (Elevated Androgen Levels)

• Clinical Signs: Excess hair growth (hirsutism), acne, and scalp hair thinning.

• Biochemical Evidence: Elevated levels of androgens, such as testosterone, in blood tests.

2. Ovulatory Dysfunction

• Irregular Menstrual Cycles: Infrequent (oligomenorrhea) or absent (amenorrhea) periods, indicating irregular ovulation.

• Anovulation: Lack of ovulation leading to fertility issues.

3. Polycystic Ovarian Morphology (PCOM)

• Ultrasound Findings: Ovaries containing 12 or more follicles measuring 2–9 mm in diameter or increased ovarian volume (>10 cm³).

• Appearance: “String of pearls” pattern observed in transvaginal ultrasound imaging.

It’s essential to rule out other conditions that may mimic PCOS symptoms before confirming the diagnosis.

Understanding the Four Phenotypes of PCOS

PCOS can present in various phenotypes based on the combination of diagnostic criteria met:

1. Phenotype A (Classic PCOS)

• Hyperandrogenism, ovulatory dysfunction, and polycystic ovaries.

• Often associated with more severe symptoms and metabolic disturbances.

2. Phenotype B

• Hyperandrogenism and ovulatory dysfunction without polycystic ovaries.

• Symptoms include menstrual irregularities and signs of androgen excess.

3. Phenotype C

• Hyperandrogenism and polycystic ovaries with regular ovulation.

• May have milder symptoms but still at risk for metabolic issues.

4. Phenotype D

• Ovulatory dysfunction and polycystic ovaries without hyperandrogenism.

• Typically presents with menstrual irregularities and polycystic ovarian morphology.

Identifying your specific phenotype can aid in tailoring treatment and management strategies.

Importance of Early Recognition and Management

Early identification of PCOS is vital, especially for young women, as it can:

• Facilitate Weight Management: Early intervention can help in adopting lifestyle changes that promote healthy weight, which is often challenging due to insulin resistance associated with PCOS.

• Address Skin Concerns: Timely treatment can alleviate acne, a common symptom resulting from elevated androgen levels.

• Prevent Hair Loss: Managing hormone levels early can reduce the risk of androgenic alopecia, characterized by thinning hair on the scalp.

• Reduce Excess Hair Growth: Early treatment can mitigate hirsutism, which involves unwanted hair growth on the face and body.

Moreover, early diagnosis and treatment can lower the risk of long-term complications such as type 2 diabetes, heart disease, and infertility.

If you’re experiencing symptoms like irregular periods, acne, hair thinning, or unwanted hair growth, I encourage you to schedule a consultation. Together, we can work towards a comprehensive approach to manage PCOS and enhance your quality of life.

The post Do I Have PCOS? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

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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WHAT EXACTLY IS A QUEEF?

A queef is simply air moving out of the vagina. The sound made by a queef is the sound of trapped air being released. One of the reasons why so many people find queefing embarrassing is that they mistake it for passing gas. Unlike farts, queefs are odorless because they are not passing through the digestive system before exiting.

WHAT CAUSES QUEEFING?

Queefing is caused by any activity that can cause air to become trapped within the vaginal canal. In everyday life, things like exercising, sitting with your legs crossed, or removing a tampon or menstrual cup can all trigger queefing. There’s generally no cause for alarm if you experience occasional queefing with any of these activities. However, there are some underlying issues that could be causing chronic queefing.

Weak Pelvic Floor

Weak pelvic floor muscles can increase vaginal flatulence. The pelvic floor consists of muscles and connective tissue that hold and support the bladder, large intestine, and internal reproductive organs. Things like pregnancy, injury, and age can all weaken the pelvic floor. It’s not uncommon to experience an increase in queefing following pregnancy and childbirth. Declining estrogen levels during menopause that decrease the pelvic floor’s elasticity and strength can also increase queefing frequency.

Hormonal Changes

As estrogen declines during menopause, it often reduces blood supply and collagen production in the vaginal canal and surrounding tissue. The loss of muscle strength that accompanies this can allow gas to slip through more frequently. It’s common for increased queefing to be just one of many symptoms when dipping estrogen levels begin affecting sexual health. The other two main ones are urinary incontinence and vaginal dryness. Queefing can also become more common due to hormonal changes that take place during pregnancy. Even normal hormonal shifts that occur during ovulation and menstruation that loosen the vaginal muscles can also increase queefing.

Prolapse

Vaginal prolapse happens when the vagina slips out of position. While most common following multiple vaginal deliveries, prolapse can occur whenever pelvic tissues and muscles are overstretched and weakened. Causes can include repeatedly lifting heavy objects as part of your job, undergoing a hysterectomy, and aging. When the top portion of the vagina shifts from its normal position, the organs it was supporting also shift out of place. In most cases, prolapse is accompanied by a lump or bulging sensation. The reason why queefing often becomes more frequent following vaginal prolapse is that the shifting of the vagina creates gaps that can make it easier for air to become trapped in the vagina.

Movements Positions During Exercise or Sex

Frequent queefing isn’t always caused by medical conditions or physiological changes. Most of the time, queefing is simply the result of air becoming trapped during physical movement. Your love of exercise could be behind the persistent queefing you’re experiencing. During running, yoga, and other common exercises, pressure changes make it easier for air to be pulled into the vagina. Rapid changes in position during exercises make it easy for the air to escape.

Queefing during sex is both common and normal. Vaginal contractions that occur during sex can cause queefing. Additionally, air is often pushed inside the vagina whenever something is inserted into the vagina during sex. When the object is removed, the air can make an audible sound as it is also pushed out. Air can also become trapped in the vagina when moving positions.

Related: How Much Does Vaginoplasty Cost?

PREVENTION AND TREATMENT OF QUEEFING

In general, there’s no need to take measures to prevent occasional queefing that happens as a result of exercise or sexual activity. This is considered a perfectly normal biological response to trapped air! Overall, having a healthy pelvic floor is the best way to minimize spontaneous queefing. However, there are several things you can do if you’re concerned about frequent or disruptive queefing.

Vaginoplasty

Also known as vaginal tightening surgery, vaginoplasty is a procedure to restore the look and function of the vagina. It is commonly used to treat vaginal prolapse or weakened pelvic floor muscles. In addition to reducing persistent vaginal gas, vaginoplasty can help to restore comfort and sexual satisfaction.

Kegel Exercises

The most common way to control queefing is to do Kegel exercises. Also known as pelvic floor exercises, Kegels are like workouts for the pelvic floor muscles. They consist of slowly tightening and releasing the muscles in the pelvic floor. To do a Kegel exercise, simply lift, hold, and relax the pelvic floor muscles. Each hold should last for up to five seconds. It’s recommended to try to consistently do at least three sets of 10 Kegels per day.

Laser Rejuvenation Of The Vagina

Nonsurgical vaginal rejuvenation with lasers can help to restore the elasticity and strength of vaginal tissue without the need for recovery or downtime. These procedures can be done during short office visits. Laser rejuvenation tightens and tones the vaginal area. It can also increase collagen production to make vaginal tissue firmer and more resilient.

Dr. Michael Tahery is a leading board-certified obstetrician-gynecologist (OB/GYN) and urogynecologist in the Los Angeles area. Dr. Tahery is happy to answer all of your questions! If weak pelvic floor muscles or hormonal issues are causing excessive vaginal flatulence, Dr. Tahery and his team can recommend a variety of surgical and noninvasive treatment options. Book an appointment today.

The post Why Do I Queef? Everything You Need To Know About Queefing appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

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.

The post Symptoms of Low Estrogen in Women appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Saggy Labia

It’s important to note that Ozempic isn’t officially linked with any symptoms of what people are calling Ozempic vagina. It is still yet to be determined if Ozempic causes any side effects on vaginal health. The rapid weight loss that many people experience after beginning Ozempic is believed to be what’s responsible for these changes. In some women who take Ozempic, the rapid weight loss that occurs throughout the body may result in visible sagging of the labia or vagina because of overall fat and volume loss. This sagging is caused by loose labia loose skin in the vaginal area, wrinkles, or some combination of all three. It’s also common for rapid weight loss to cause the labia to suddenly feel out of proportion compared to how it previously felt.

Vaginal Laxity

When we lose weight rapidly, it’s common to also lose muscle mass. Unfortunately, muscle loss that results from Ozempic use can actually cause vaginal laxity. Vaginal Laxity isn’t just a cosmetic issue. The loosening of muscles that occurs with weight loss can lead to pelvic weakness and incontinence, and some women have reported a feeling of looseness during intercourse.

Vaginal Dryness

If you’ve noticed vaginal dryness since starting Ozempic, you may be wondering if the medication could be to blame. This side effect isn’t quite as easy to pinpoint. One thing that is known about Ozempic is that it can sometimes cause side effects that include nausea, vomiting, and diarrhea. If these symptoms persist, they can leave you chronically dehydrated. Being dehydrated can cause vaginal dryness.

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Treatments for Ozempic Side Effects

If you’re feeling self-conscious about Ozempic vagina, there are several things to know. First, it’s important to book a consultation to discuss the symptoms of Ozempic vagina you’re experiencing to confirm that they are actually linked with your weight loss. While Ozempic and other weight-loss drugs certainly can be responsible for looseness, sagging, and dryness, it’s wise to rule out other potential causes. Everything from menopausal changes to gynecological conditions could be behind the symptoms you’re experiencing. If vaginal changes are being caused by an untreated underlying factor, it’s important to identify and treat the root cause. If it’s determined that your symptoms are being caused by Ozempic vagina, there are several treatments that can help to restore firmness and tightness to the vagina.

Labiaplasty

If Ozempic has left you with sagging skin, labiaplasty can be an option for tightening things up down there. With a high satisfaction rate of over 90%, this cosmetic gynecology procedure can change the shape and size of the vulva’s labia minora and labia majora. Commonly used as a restorative treatment for women following childbirth or age-related changes, labiaplasty can leave you feeling more sexually confident and have the freedom to wear what you wouldn’t before the procedure.

Vaginal Tightening

If you’re experiencing vaginal laxity that is decreasing sensation, a tightening procedure can help to restore firmness while also potentially helping with incontinence and reducing vaginal dryness. While vaginal tightening procedures can be customized, they typically involve tightening the vaginal canal while also addressing any protruding external skin for aesthetic purposes.

Labia Puffing

While the topic hasn’t been officially studied, many women have experienced wrinkling as one of the common Ozempic effects on the vulva. If Ozempic use and weight loss have left you with wrinkling of the vaginal lips, puffing can help to restore a full, supple look. There are two nonsurgical options for labia puffing. The first is to use dermal fillers to plump up the labia. The fillers used for this procedure are similar to the fillers that are commonly used in facial injections. The process involves a tiny injection done with a local anesthetic. Patients don’t need any recovery time. Results can last up to eight months per session.

The second option for addressing Ozempic effects on the vulva is labia puffing using fat graft. During this procedure, a small amount of fat is harvested from the thigh, abdomen, or other part of the body. Using a local anesthetic, the purified fat is then injected into the labia using a specialized needle. The benefit of this treatment is that it does not pose risks for rejection because it uses the patient’s own fat. The fat is easily reabsorbed by the body over time.

Vaginal Dryness Creams

If you’d simply like to address ongoing vaginal dryness that you’ve experienced since beginning Ozempic, vaginal creams can help to restore balance. Both hormonal and nonhormonal options can be used. However, patients simply looking for a natural, hormone-free option can often get the results they want from creams such as SILK that promote natural lubrication of the vaginal mucosa.

While the side effects of Ozempic for women are still being researched, many patients have experienced Ozempic effects on the vulva. Dr. Michael Tahery has more than 20 years of experience with treating complex women’s health issues. Contact our office today to book a consultation!

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