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Menopause Management Specialist

Maiden Lane Medical

Multi-Specialty Group Practice located in New York, NY

Going through menopause marks a major change in a woman’s life. Maiden Lane Medical offers compassionate, confidential and individualized attention for New York City women who want to ensure they have the best health possible throughout menopause and perimenopause. Book an appointment today to see one of our caring providers to help you.

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“My doctor was very pleasant and easy to talk to. She was extremely knowledgeable and addressed all my issues and concerns. Very positive experience!”
Janice A.

What is menopause?

Menopause is the time in life where the ovaries begin to shut down production of the hormones that regulate cycles and allow for ovulation. At a certain point in life, the ovary runs out of viable eggs and so the production of these hormones is gradually slowed down until ovulation ceases altogether. The true criterion that is recognized is when a woman has not had a period in 1 year.

Does it happen all at once or are there stages?

The initial reduction in hormone production signals perimenopause. Perimenopause can last several years as your ovarian reserves and hormones decline. Your periods become irregular and eventually stop. You officially reach menopause after 12 months without a period and enter the postmenopause phase. 

What should I expect as I approach and reach menopause?

Yes, Perimenopause usually begins in the early to mid-forties age group. You might notice that you are not as regular. It is common for the period to be heavier and closer together sometimes as close as 21 days. The bleeding pattern also changes. It is not uncommon to have very heavy bleeding for 2-3 days, a day or two of nothing, then another heavy day.

As you progress through perimenopause, you begin to skip periods and potentially develop other menopausal symptoms. It is possible to have some bleeding after menopause. If this happens, you should make an appointment with your gynecologist. While it’s not usually due to a serious problem, it’s better to have any abnormal bleeding checked out.

When does menopause happen?

The average age of menopause is 50-51 years old, although it is normal to occur anywhere between 40 and 60. This is determined by genetics and other personal details. 

Are there symptoms?

Not all women have menopause symptoms. However, the most common are the following:

  • Hot flashes and night sweats
  • Insomnia 
  • Irritability 
  • Reduced with short-term memory 
  • Difficulty with concentration
  • Joint pain
  • Palpitations
  • Weight gain
  • Low libido
  • Painful sex

Another disruptive symptom of menopause is genitourinary syndrome of menopause (GSM). GSM develops as your reduced estrogen levels affect your pelvic floor. It includes symptoms such as vaginal dryness, painful sex, vaginal burning, recurrent UTI and dysuria. 

Dysuria is difficulty with urination including irritable bladder syndromes and frequent urination during the day and or night (nocturia). 

What are the available treatments for menopause?

Menopause treatments are determined by the severity of the symptoms. Women who have very mild symptoms may elect not to have any treatment other than information and routine monitoring. Your provider might recommend some lifestyle modifications. 

For those who experience moderate or severe symptoms, the treatments are varied. Your menopause management program is tailored to your symptoms.

These include:

  • Lifestyle changes
  • Acupuncture
  • Supplements
  • Non-hormonal medications
  • Bioidentical hormone therapy 
  • Transdermal or oral hormone therapy

Your gynecologist can modify your treatment plan at any time if your needs change. 

Do I need special treatment for GSM?

The team at Maiden Lane Medical offers pelvic physical therapy to relieve GSM symptoms. If GSM interferes with your health or well-being the physical therapists specializing in pelvic physical therapy can help you develop an appropriate program and progression to stretching and exercise

  • Non-hormonal vulvar and vaginal lubricants with sexual activity and long-acting vaginal moisturizers
  • Regular, gentle vaginal stretching with fingers or dilator/vibrators and if desired a return to intercourse when possible. 

You might also benefit from GYN guided prescription therapies which may include:

  • Low dose vaginal estrogens
  • Vaginal DHEA inserts
  • Oral ospemifene
  • Transdermal or oral hormone replacement
  • Mona Lisa therapy 
Medically Reviewed By

Marina Arutyunyan DO, MPH
Board Certified Gynecologist

Our doctors who provide this service

Thumbnail Photo of Dr. Rachel Barr

Rachel Barr, MD

Board Certified Gynecologist

Emily Blanton, MD

Board Certified Gynecologist

Focused Practice Designation in Minimally Invasive Gynecologic Surgery
Profile Photo of Dr. Janette Davison

Janette Davison, MD

Board Certified Gynecologist

Focused Practice Designation in Minimally Invasive Gynecologic Surgery

Armina Eana, DO MPH

Board Certified OB/GYN
Ilene Fischer, MD profile picture.

Ilene Fischer, MD

Board Certified Gynecologist
Profile Photo fo Dr. Dena Harris

Dena Harris, MD

Board Certified Gynecologist

Kenneth A. Levey, MD MPH FACOG FACS

Board Certified Gynecologist & CEO and Managing Partner of Maiden Lane Medical

Focused Practice Designation in Minimally Invasive Gynecologic Surgery

Fernando Mariz, MD

Obstetrics and Gynecology

Savita Sukha, WHNP

Women's Health Nurse Practitioner

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