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The Ins and Outs of Menopause Jennifer Lyman, MD FACOG Gynecologist, Premier Care for Women Northside Hospital Atlanta, Georgia
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“Natural” vs “Induced” Menopause
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Not Your Mother’s Menopause
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Effects of Early Menopause Immediate symptoms Long term health effects
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Hot flashes/night sweats Mood swings Lack of energy Sexual dysfunction Symptoms
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Depression Insomnia/Sleep disturbances Vaginal dryness Cognitive changes: “brain fog” Symptoms
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Long-term Health Issues Fertility Metabolism/weight changes Bone loss (osteoporosis) Cardiovascular disease (heart disease, high blood pressure, stroke, etc)
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So What’s a Girl to Do?!
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Treatment Options Lifestyle modifications “Natural” remedies Prescription medications
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Symptom Relief: “Natural” Remedies Soy Black Cohosh (Remifemin) Valerian (Abkit) St. Johns Wort **** Kava Sage A word of warning….
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Symptom Relief: “Natural” Remedies Vitamins (Vit. E) Minerals Other Supplements CoQ10 Omega-3/Omega-6 SAM-e
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Symptom Relief: Over-the-Counter Hormones Topical Progesterone Wild Yam DHEA Melatonin
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Sym ptom Relief: Non-hormonal Prescription Meds SSRIs/SNRIs Lunesta Gabapentin Lyrica Clonidine
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Sexual Function “Use it or lose it” OTC lubricants and moisturizers Sex therapy *Vaginal/topical estrogen *Addyi
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Sleep Issues Hypnotics Antihistamines Benzodiazepines Valerian root Melatonin
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Fertility Oocyte preservation Donor egg/embyro Spontaneous resumption of ovarian function **BIRTH CONTROL**
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Help is out there!!
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