Help for that Misbehaving bladder

| August 29, 2013

Many women suffer from bladder issues that range from urgency and the need to empty their bladder frequently; many times this is helped by bio-identical hormone replacement.   However, many other women suffer the embarrassment of a falling bladder that leaks with a laugh, a sneeze or a cough, and bio-identical hormone isn’t enough.  Now there is […]


New HRT Guidelines from the British Menopause Society

| August 10, 2013

The British Menopause Society (BMS) and Women’s Health Concern has issued updated guidelines on hormone replacement therapy (HRT) to clarify its use, benefits and risks.  The new recommendations were published online May 24 and in the June print issue of Menopause International. Lead author Nick Panay, BMS chair states  “Our aim is to provide helpful […]


Perimenopause in a patient told ‘had hyst and both ovaries removed’

| September 28, 2012

N. O. is a 36 yo female who had a hysterectomy at age 29, then both ovaries removed 10months apart at age 33.  Pt was placed on non-bioidentical hormone and never felt it was helping.  Pt seen in this office for 2nd opinion consultation with multiple moderate menopausal symptoms.  Pt was trialed on bio-identical hormone replacement […]


What are Bioidentical Hormones?

| December 14, 2011

There are many ‘explanations’ of bioidentical hormones; it sounds like a simple answer.  However, there are a few pitfalls out there.   There are hormone formulations that are called ‘natural’ vs bioidentical; they may have an animal based formulation but may not have a human based chemical formula similar to what the human female ovary would make.  The […]


Frequent voiding in Menopause; is this normal?

| September 8, 2011

Bladder function and the time between voids is a timing that we all get used to and rely upon. However, with dropping female hormones that accompany perimenopause and menopause, bladder capacity and time between voidings can become shorter and less predictable; why? The natural drop in Estrogen that is associated with perimenopause and menopause impact […]