For most women, the onset of middle age means an inevitable decline in fertility until the menstruation finally comes to an end. Even though this final stage in the female reproductive cycle — a chapter known as menopause — can come with a variety of unwanted symptoms and even changes in health, it’s possible to manage them effectively. The first-rate team of obstetricians and gynecologists at North Texas OB/GYN in Plano, Texas are dedicated to helping women navigate and manage the symptoms of menopause so they can age comfortably. They serve patients from communities throughout the Dallas-Fort Worth area.
Menopause is a natural biological process that’s set in motion by a decline in the production of estrogen and progesterone, the hormones that regulate menstruation and make pregnancy possible. Although your ovaries start making less of these hormones by the time you reach your late 30s, menopause doesn’t usually occur until sometime in a woman’s 40s or 50s. In the United States, the average age for menopause is 51.
Menopause is defined as starting 12 months after a woman’s last menstrual cycle. For women who undergo a total hysterectomy (surgery that removes the uterus and both ovaries), menopause begins without a transitional phase. Although menopause marks the end of your fertility, it doesn’t have to affect your health, vitality, or sexuality.
During the transition into menopause, the months or years known as perimenopause, you may experience a wide variety of physical symptoms related to the changing levels of reproductive hormones, including:
The physical symptoms of menopause may make you feel less energetic, or even give rise to anxiety or feelings of sadness and loss.
Yes — after menopause, you have a greater risk of developing certain health problems. Osteoporosis is one key concern because the hormonal shift of menopause can cause you to lose bone density at a rapid rate and make you more prone to bone fractures. Lower estrogen levels also make you more likely to develop cardiovascular disease, the leading cause of death in women as well as men. Urinary incontinence, poor sexual function, and weight gain are other common health complications associated with menopause.
Hormone replacement therapy, or taking a supplement of the reproductive hormones that your body is no longer making, helps address many of the problems brought on by menopause.
At North Texas OB/GYN, hormone expert Dr. Ralph E. Joseph offers state-of-the-art hormone pellet implants, an advanced form of hormone replacement therapy that involves inserting a tiny cylinder of biologically identical (or bioidentical) hormones under your skin. Hormone pellets deliver small doses of hormones consistently to keep your blood levels stable, which can boost your energy, improve your mood, and help you sleep better. Hormone replacement therapy can also help you preserve bone density and protect heart health.
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"Dr Joseph is great. His nurse Erin is also amazing. They're both very professional and compassionate."
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"Dr. Joseph has been my doctor for about 12 years now. He delivered all my babies and has always made me feel like a valued patient."
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"Shelli and Dr Vu are the very best!!! I love love them both and have never worked with a better team then them."
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"Dr. Vu and her staff are by far the friendliest and most helpful medical professionals I've ever had the pleasure of seeing!"
"Other than family I've known my doctor and his nurse longer than anyone else since moving to Dallas 17 years ago."
"I felt very comfortable with the doctor because he seemed very confident and competent. I feel blessed to have had him recommended to me."
"Dr. Rovner and his nursing staff are always helpful and courteous."
"Love Dr. Joseph and his team! We are so grateful to have found them! They have made our first pregnancy and delivery such a wonderful experience."
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