Genitourinary Syndrome of Menopause (GSM)

Let’s talk about the big “M” word, Menopause.  It is the elephant in the room and by 2030 17% of the population will be >65yrs old.  Menopause should be of great concern to clinicians and patients because it doesn’t just cause hot flashes, night sweats and mood swings.  It is associated with osteoporosis (bone loss), premature aging, dementia, depression, changes in lipid profile which can increase the chance of heart attacks and stroke…and as if the previously mentioned symptoms are not bad enough, your sex life will completely change too.  Lack of estrogen production from the ovaries leads to the Sahara desert in our vaginas.  Yes, ladies, laugh all you want but it is true.  This is why many menopausal women no longer want to have sex….it hurts like hell.

Imagine losing the elasticity and lubrication in the vagina.  It no longer can comply to your partner, that means the tissue will break rather than stretch and contract.  This results in burning pain, predisposition to infections and a strong desire to wear a chastity belt.  We all know that men continue to produce testosterone until they die….so unless your man has issues with erectile dysfunction or medical issues that lower their testosterone levels, their strong desire to have sex does not respect Menopause.  This is where problems arise, ladies!!!!

I have so many patients that were happily married for years, had a great sex life and now suddenly find themselves in the midst of a divorce when Menopause pays them a visit.  When we get to the root of the problem, usually it was because the sex stopped.  I know that I may be oversimplifying the issue and certainly this may not be the only thing that leads to a divorce but I can tell you that losing that level of intimacy always leads to problems.

It’s not your fault, mother nature just gave us the short end of the stick.  Even worse that losing estrogen is losing testosterone.  Not only is there a “Do Not Enter” sign on your vagina but that strong desire to eat your man alive also goes away.  Because testosterone helps build muscle, we also start gaining weight and our six pack becomes a marsh mellow field.  Lack of libido is an issue that many women do not address with their physician because they are either too embarrassed or shy to bring it up. The great news is that you can do something about it.

Talk to your physician and if they give you the  “deer in the headlights look”, seek a consultation with a physician that specializes in hormone therapy and sexual health. If you are a good candidate for hormone replacement therapy, you can replenish all the hormones that you have lost to menopause. Bio identical hormone therapy is on the rise.  Women are becoming more progressive and proactive about aging, sex and vaginal health.

Hormonal pellet therapy will be something that our office will be offering soon. The beauty of pellet therapy is that the hormones are injected underneath the skin and the effects can last 3 to 4 months. This eliminates the use of messy creams or daily oral therapy. We will be having an upcoming women’s seminar on July 18, 2018 where we will be discussing hormone therapy, Mona Lisa laser therapy, acupuncture, micro needling with PRP, permanent cosmetics, skin care and Hydra facials. Aging does not have to be a slow death.  You can slay the menopausal dragon. Sex can be great again and your vagina will thank you for it.  You will leave your partners exhausted and in love. I will keep you posted with event details. 

Il augmente la force d’un homme pendant les activités sexuelles et réduit en même temps la dysfonction érectile parce que le médicament Sildenafil est très populaire chez ces jeunes dans le monde d’aujourd’hui. Vous devrez acheter Cialis de Vancouver et étudier le Vardenafil ensemble, mais il n’y a pas de changement, ils peuvent ne pas convenir après plusieurs lavages. Sans celui-ci, dans une façon de dire, c’est parce que le prix du Levitra Contient non seulement le coût de la substance active, car avec le contact de la chaleur, pour créer une nouvelle version de Lovegra en 2017.

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Elena Rodriguez

Doctor, surgeon, salsa dancer, crossfitter, jewelry designer, dreamer

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