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    Women’s Health Care: Gynecological Exams After Menopause

    Women’s Health Care: Gynecological Exams After Menopause

    For comprehensive women’s health care, women should get regular gynecological exams. Yet, many women do not get regular exams after menopause because they believe they no longer need them. We’re here to set the record straight and explain why you should continue to schedule gynecological exams and what to expect from these exams once you have reached menopause.

    Women’s Health Care After Menopause is Important

    mature woman reading wondering about what women's health care services she needs

    Gynecological exams after menopause are important, so talk to our women’s health care providers about your gynecological health.

    It’s a commonly held misconception that women no longer need gynecological exams or well woman checkups after menopause. Most experts recommend continuing annual gynecological exams after menopause (yes, even if you’ve had a hysterectomy). Gynecological exams are part of preventative women’s health care. Just as you should continue seeing your dentist for checkups, it’s also important to continue to visit your gynecologist for preventative care and treatment. Taking part in health care can help you stay healthy and feel your best as you age.

    Gynecological Exams are Essential for Women’s Health Care at Every Age

    Gynecological exams are important health exams for women. Most health experts recommend getting a gynecological exam at least once per year for women of all ages. Even after menopause, regular gynecological exams are important for getting the health screenings and care you need to continue to stay healthy and help with early detection of health conditions.

    What Does a Gynecological Exam Include?

    Our providers tailor gynecological services to you based on your medical history and other factors. However, generally a gynecological exam includes several different tests and exams rolled into one appointment.

    One common part of your annual gynecological exam is the pelvic exam. This is where our provider examines your genitals, vagina, and pelvic organs both externally and internally. This exam is to help the doctor determine the overall health of your pelvic organs, such as your:

    • Uterus
    • Vagina
    • Cervix
    • Fallopian tubes
    • Ovaries
    • Bladder
    • Rectum

    Typically our providers will also conduct a breast exam and may recommend mammograms. We also use the gynecological exam as an opportunity to talk about your overall health and take readings of your vital signs to look for any signs of potential illness. During this time, our women’s health care team also typically asks about any symptoms you’ve been experiencing. Your exam may also include several recommended health screenings, such as a Pap test to screen for cervical cancer. Therefore, a gynecological exam involves many different “pieces” to help address your health.

    Why Visit Your Women’s Health Clinic for Gynecological Exams after Menopause?

    You no longer have a period, so why continue to schedule gynecological exams after menopause? Well, these exams address much more than just menstrual or even reproductive health. According to the American Board of Obstetrics and Gynecology, it’s important to continue to visit a gynecologist after menopause. Gynecological exams can help you address your health through regular health screenings and looking for underlying causes of symptoms you experience.

    Important Health Screenings During Gynecological Exams

    Scheduling regular gynecological exams at our women’s health clinic also helps you get the health screenings and preventative care you need. Screenings help assess your risk for certain health conditions and can also help with early detection and treatment. Many of the health screenings you receive during your gynecological exam look for signs of potentially serious or life-threatening conditions, which is another reason why experts recommend continuing gynecological care after menopause.

    In many cases, you will also need regular Pap tests even after menopause. Current recommendations are to get a Pap test at least every three years between the ages of 21 and 65. After 65, you may be able to stop getting tests if you have had three consecutive negative Pap tests or at least two negative HPV tests in the last ten years. Our women’s health care providers can help you determine if you can stop getting regular Pap tests based on your individual risks.

    Even if you no longer need a Pap test, you may still need regular pelvic exams. Regular pelvic exams can help find signs of issues with your pelvic organs. For instance, during a pelvic exam our doctor may look for signs of ovarian cysts, STIs, uterine fibroids, and cancer in your pelvic organs. Many experts recommend getting regular pelvic exams after menopause as part of preventative care.

    Depending on your individual circumstances, our providers may also recommend other health screenings during your gynecological exam. We offer personalized services and recommendations to help you address your health.

    Discuss Your Gynecological Symptoms with Our Women’s Health Care Providers

    Another reason to continue scheduling gynecological exams after menopause is to talk about your symptoms with our health professionals. According to one study published in the North American Menopause Society’s journal Menopause, over half of women experience gynecological symptoms after menopause. Yet, many don’t seek help for these issues.

    The study surveyed hundreds of post-menopausal women and found that 51% of them experienced symptoms such as itching, irritation, dryness, discharge, and odor. For 40% of those women, their symptoms caused emotional distress. Also, 33% said symptoms impacted their lifestyles. For those who were sexually active, 76% said symptoms interfered with their sex life. Despite these symptoms and effects, about one-third of the women hadn’t seen a gynecologist in two years. From the study, the researchers suggested getting regular gynecological exams and discussing any symptoms you experience.

    In many cases, our women’s health care providers can help treat the underlying causes of your symptoms to help you find relief. For example, many women experience bladder symptoms such as frequency, urgency, urinary incontinence, or even burning while urinating. Many of these symptoms can be tied to vaginal atrophy, where the walls of your vagina become thin and dry, which is common after menopause.

    Treating your vaginal atrophy can often help with not only your vaginal symptoms, but your bladder symptoms as well. This is just one example of how discussing your symptoms with our team can help you find treatment solutions personalized to you.

    Not only can symptoms interfere with your quality of life, but they can also be a sign of something more serious. For instance, bleeding after menopause can be a warning sign of anything from non-cancerous polyps to endometrial cancer. Talking to our providers about symptoms may help with early detection of serious health conditions.

    HerKare – Empowering Women Through Quality Women’s Health Care

    Getting quality health care is important at every age, including after menopause. Our team at HerKare provides you with quality care at every stage of life. We are here to help you take care of your overall health, whether you need preventative care or are experiencing worrying symptoms. We believe in empowering women by providing them with the personalized health care solutions they need to feel their best. Schedule an exam at one of our convenient locations or make an appointment for our other treatment services to learn how we can make a difference for you.

    Thyroid Disease & Menopause

    Thyroid Disease & Menopause

    January is Thyroid Awareness Month! To help raise awareness about thyroid disease, let’s talk about thyroid disorders and menopause. Thyroid disorders are incredibly common among women, and the risk for thyroid issues increases with age. Most cases of thyroid disorders occur in middle aged women, which is also typically when menopause occurs. In some cases, you may have both at the same time. Some women mistake thyroid disorder symptoms for menopause and vice versa. Also, thyroid issues can cause worse menopause symptoms. There are many ways thyroid disease and menopause can interact, which is why it’s important to talk to our women’s health care providers about your overall health. We offer diagnosis and treatment for both thyroid disease and menopause to help alleviate your symptoms and reduce other health risks associated with both thyroid disorders and menopause.

    woman exercising and feeling great after getting women's health care for menopause and thyroid issues

    Our women’s health care providers can help you address symptoms of thyroid disorders and menopause.

    Talk to Your Women’s Health Care Provider About Your Thyroid

    The thyroid is a small, butterfly-shaped gland located in the front of your neck, just above the collarbone. Its purpose is to produce thyroid hormones, which affect practically every cell in your body. Thyroid hormones are responsible for a wide range of functions in the body, including your metabolism and heart rate. The more thyroid hormone in your body, the higher your metabolism is and the higher your heart rate. However, thyroid disorders negatively affect normal functioning of the thyroid gland. Women are between five and eight times more likely than men to suffer from thyroid disorders. In fact, an estimated one in eight women will experience thyroid issues at some point in their lifetimes. Because the thyroid plays such a key role in your health, it’s important to talk to our women’s health care provider if you think you may be suffering from a thyroid disorder.

    Types of Thyroid Disorders

    Generally, thyroid disorders involve either an overactive or underactive thyroid. Overactive thyroids produce more thyroid than your body needs. Underactive thyroids produce less thyroid hormone than your body needs. Both can cause serious issues for your health, as well as a variety of symptoms that can interfere with your everyday life.

    Hyperthyroid involves an overactive thyroid where you produce too much thyroid hormone. This essentially causes your body to speed up. For instance, with too much thyroid hormone circulating in your body, you may have an increase in metabolism to the point it creates health issues, like unexplained weight loss.

    By contrast, hypothyroid is where you don’t produce enough thyroid hormone. With low thyroid, your body and its functions can start to slow down. One example is you may feel more tired than usual and feel like you need to sleep more. Just like hyperthyroidism, this can also negatively impact your health.

    Autoimmune diseases are most commonly to blame for thyroid disorders in the U.S. The most common cause of hypothyroid is Hashimoto’s disease, which causes your body to develop antibodies that attack the thyroid gland. Graves’ disease is an autoimmune disease that is the culprit for most cases of hyperthyroid in America. This disease causes your body to create an antibody that actually mimics thyroid stimulating hormone (TSH), which is responsible for boosting thyroid production when your body needs more. Because the antibody acts like TSH, it causes your body to produce too much thyroid hormone.

    How Women’s Health Care Providers Diagnose and Treat Thyroid Disease

    If you think you may have a thyroid disorder, talk to one of our women’s health care providers. We can help diagnose and treat both hypothyroid and hyperthyroid. In most cases, diagnosis starts with a simple blood test. Blood panels may look at many factors to assess whether you have a thyroid disorder. Thyroid tests may look at the amount of thyroid stimulating hormone in your blood, T3 & T4 (types of thyroid hormone) levels, and thyroid antibody levels. Diagnosis may also include thyroid scans and ultrasounds.

    If you have a thyroid disorder, our women’s health clinic can also help with treatment. Treating hypothyroid typically involves taking medications that supplement your natural thyroid hormone levels. They are generally man-made versions of thyroid hormones and come in different forms, like pills or injections. In most cases, you will need hypothyroid treatment for the rest of your life to relieve symptoms and reduce some of the risks associated with low thyroid levels.

    Treating hyperthyroid means reducing how much thyroid hormone is in your body. There are many approaches to this. Treatments from your women’s health care provider may include medicines that reduce thyroid production or reduce the effects of thyroid hormone in your body. In these cases, most people need lifelong treatment. Other potential options for hyperthyroid include radiation therapy to target and kill some of the thyroid cells and shrink the thyroid gland. Another option includes surgically removing part or all of the overactive thyroid gland.

    Thyroid Disease and Menopause May Share Symptoms

    chart showing common symptoms of menopause, hypothyroid, and hyperthyroid and where they intersect for women's health careMany women mistake thyroid issues for menopause, or vice versa. Thyroid disorders can mimic many of the same symptoms of menopause.

    Some symptoms of hypothyroid include:

    • Fatigue
    • Cold intolerance
    • Dry skin
    • Constipation
    • Libido changes
    • Menstruation changes
    • Moodiness
    • Forgetfulness
    • Unexplained weight gain
    • Hair loss
    • Depression

    Some symptoms of hyperthyroid include:

    • Hot flashes
    • Insomnia
    • Heat intolerance
    • Unexplained weight loss
    • Racing heart
      Heart palpitations
      Anxiety
      Muscle weakness

    You may have noticed when reading those lists that both hyperthyroid and hypothyroid have similar symptoms to menopause, namely mood changes, menstrual changes, hot flashes, insomnia, and libido changes. Many women also experience weight gain around the time of menopause, which is common for people with hypothyroid. Therefore, it may be easy to mistake symptoms of thyroid disorders for menopause.

    In addition, thyroid disorders may make your menopause symptoms worse. In some cases, you may need to treat both your thyroid disease and your low hormone levels from menopause to alleviate your symptoms.

    Any time you experience symptoms like temperature intolerances, hot flashes, mood changes, unexplained weight changes, or other similar symptoms, it helps to talk to your women’s health care provider. Our team can help find underlying causes of your symptoms and identify personalized treatment options that suit your lifestyle.

    Talk about Risks of Thyroid Disease with Your Women’s Health Care Provider

    Untreated thyroid disorders can cause major problems for your health. Thyroid disease can increase your risk for many other serious health conditions. For instance, hypothyroid can increase the risk for high cholesterol, heart disease, and depression. Hyperthyroid can also increase the risk for heart disease and may increase the risk for vision issues. One common side effect of untreated hyperthyroid is called Graves’ ophthalmopathy, which can cause eye pain, light sensitivity, double vision, and even vision loss.

    Thyroid disease of any kind can increase the risk for goiter, which is where the thyroid gland becomes enlarged, even to the point where you can feel the lump in your neck or experience symptoms like difficulty swallowing, cough, difficulty breathing, and hoarseness. Our doctors are here to help you reduce your risks for your overall health and well-being.

    Thyroid issues can also make menopause health risks worse. For instance, osteoporosis is a serious risk for women after menopause. Osteoporosis is where your bones become weaker and more brittle, increasing the risk for fractures. Both hyperthyroid and hypothyroid can also increase the risk for osteoporosis, making it a double whammy if you have a thyroid disorder and are menopausal. Our women’s health care providers can discuss options to help protect your bones and reduce the risks based on your specific circumstances.

    Quality Health Care from HerKare – Your Women’s Health Clinic

    When you need better healthcare for women, choose our team at HerKare. We are a women’s health clinic founded by and run by women, for women. We pride ourselves on offering personalized care for women. Our team offers a wide range of healthcare services, from annual exams to HRT for menopause and treatments for health conditions like thyroid disease. Our goal is to empower women to take care of themselves by making healthcare as efficient and convenient as possible. Make an appointment today to take charge of your health.

    Progesterone Replacement Therapy and Blood Pressure

    Progesterone Replacement Therapy and Blood Pressure

    Progesterone replacement therapy is a type of hormone therapy that boosts progesterone levels to healthy ranges. Progesterone is an important hormone in your body that performs many different functions. Recent evidence suggests that progesterone may also play a role in blood pressure regulation. The risk for high blood pressure goes up after menopause, which is when progesterone is typically low. Researchers are now looking into whether progesterone may help reduce blood pressure risks, with promising results.

    woman checking pulse after beginning progesterone replacement therapy

    Some studies suggest progesterone replacement therapy may help your body regulate blood pressure.

    Blood pressure is an important marker of health. High blood pressure, also known as hypertension, can put you at risk for many different health issues. Uncontrolled high blood pressure can increase the risk for heart attack, stroke, heart failure, and even kidney disease. High blood pressure can damage arteries, blood vessels, and organs over time. Despite all these health risks, high blood pressure often causes zero symptoms on its own. Because of the many negative effects of high blood pressure, experts are exploring many ways to help people reduce their risk for hypertension.

    How Progesterone Replacement Therapy Affects Blood Pressure

    In the past, many believed that both the female hormones estrogen and progesterone increased blood pressure. This was because many women taking hormone-based birth control and hormone replacement therapy for menopause experienced high blood pressure as a side effect. However, recent research shows that estrogen is the likely culprit for increased blood pressure. Progesterone, by contrast, may have the opposite effect. As a natural diuretic, progesterone may actually lower blood pressure for some women.

    Progesterone replacement therapy is often paired with estrogen to treat menopause symptoms. Every patient who still has a uterus is prescribed progesterone alongside estrogen. This is because progesterone helps prevent the uterine lining from becoming too thick, increasing the risk for endometrial cancer. Therefore, in the past many researchers had difficulty separating the effects of progesterone and estrogen for women taking both at the same time. However, progesterone replacement therapy on its own is getting more and more attention. For example, some studies have found progesterone-only therapy may help with menopausal hot flashes.

    With more research into progesterone by itself, some have begun to look at the relationship between progesterone and blood pressure. Research is still ongoing, but many studies have found that progesterone replacement therapy either has no effect on blood pressure, or that it may help lower blood pressure. It’s important to discuss your specific circumstances with our treatment providers, but this is encouraging evidence for women who may want to take bioidentical hormone therapy with progesterone for menopause symptoms.

    Progesterone May Lower Blood Pressure

    Progesterone does many things in the body. It’s responsible for preparing the uterus for potential pregnancy, regulating your menstrual cycle, and keeping estrogen and other hormones in check. Progesterone also seems to help with blood pressure regulation.

    Many medical professionals are interested in the relationship between progesterone and blood pressure. After all, blood pressure tends to be quite low during pregnancy, when progesterone levels are high. By contrast, post-menopausal women have a higher risk for high blood pressure, which is when the ovaries start producing significantly less progesterone. There have been several studies into the link between progesterone and blood pressure that indicate it may have a lowering effect on blood pressure.

    One 2001 study found that progesterone was independently associated with vascular effects. This essentially means that, outside of estrogen, progesterone may affect the blood vessels. The researchers also found that progesterone changed the blood pressure response to norepinephrine, which typically increases blood pressure. This isn’t the only study to show a positive effect on high blood pressure from progesterone. A small study from 1985 looked at people with hypertension taking progesterone replacement therapy. Researchers looked at six men and four post-menopausal women and saw that blood pressure dropped significantly after taking progesterone. Therefore, these studies suggest progesterone may reduce the risk for hypertension.

    How Progesterone Replacement Therapy May Lower Blood Pressure

    The hormone progesterone can act as a natural diuretic, which is essentially something that helps your body get rid of extra salt and water through your urine. Diuretics like water pills are also a common treatment option for high blood pressure. This is because they can help reduce the amount of water in your blood, which means there’s less fluid in your veins causing excess pressure. Because of this effect of progesterone in your body, some believe that progesterone replacement therapy may also help lower blood pressure for women with low progesterone.

    However, there may be other explanations. For instance, a 2021 study published in the journal Hypertension found that progesterone had three effects that may help reduce blood pressure. This study looked at short-term effects of progesterone on blood pressure. They concluded that progesterone may have a direct impact on blood vessels in the body.

    The researchers found that progesterone dilated blood vessels, which can reduce the amount of pressure on the vessel walls. The study also found that progesterone helped prevent an increase in blood pressure that usually comes with exposure to adrenaline-like hormones. Another effect of progesterone the researchers in the 2021 study found was that progesterone helped block calcium intake in the smooth muscle cells. This may work similarly to calcium channel blocker medications, which are also commonly used to treat high blood pressure, as calcium can cause the blood vessels to squeeze tighter and increase blood pressure.

    Of course, there may be other potential ways progesterone affects blood pressure. For instance, some believe progesterone may have an indirect effect on blood pressure through BMI. Progesterone replacement therapy may reduce the risk of weight gain and high BMI, which are associated with high blood pressure.

    Why Providers May Prescribe Progesterone Replacement Therapy

    Our treatment providers may recommend progesterone replacement therapy for a few different reasons. It’s common to use progesterone and estrogen in combination to alleviate menopause symptoms like hot flashes, night sweats, and mood changes. If you still have a uterus, our providers always prescribe progesterone with estrogen. Progesterone helps counteract the endometrial thickening properties of estrogen to reduce the risk of cancer. Therefore, if you’re taking estrogen for menopause, you will also likely be taking progesterone replacement therapy. In some cases, our medical professionals may also recommend progesterone alone to help with your menopause symptoms.

    Progesterone may also serve as a hormone imbalance treatment if you’re suffering from low progesterone. If you have low progesterone levels, other hormones like estrogen and testosterone may be thrown out of balance. This can lead to many concerning symptoms, such as:

    • Irregular periods
    • Fatigue
    • Frequent urinary tract infections
    • Frequent vaginal infections
    • Breast tenderness

    Therefore, there may be many reasons why our providers may prescribe progesterone replacement therapy for you.

    What to Do If You Have High Blood Pressure and Menopause Symptoms – Visit HerKare

    Our providers at HerKare take a holistic approach to healthcare. If you’re experiencing menopause symptoms, high blood pressure, or other conditions, make an appointment at one of our clinics. We offer personalized treatment solutions to help you feel your best. Our team works with you to find treatment solutions that work for you. For instance, if you have both high blood pressure and menopause symptoms, we may recommend a combination of lifestyle changes, bioidentical hormone therapy, blood pressure medications to address your whole health. Get in touch to learn how we can help you feel better again.

    Women’s Health Care for Low B12

    Women’s Health Care for Low B12

    Low B12 is a serious issue for your health and well-being. Therefore, it’s important to talk to a women’s health care professional if you think you have B12 deficiency. Fortunately, there are treatment options available to increase vitamin B12 in your body and reduce health risks associated with low B12. Let’s talk about B12 deficiency and available treatment solutions. 

    Why is B12 Therapy Important for Women’s Health Care?

    woman with more energy after our women's health care providers treated her low B12

    Our women’s health care providers can treat low B12 to help your symptoms and energy levels.

    Vitamin B12 is necessary for many functions in your body. B12 helps with red blood cell production, brain function, and nerve tissue health. It also helps your body absorb folic acid, which helps your body make healthy new cells and DNA. People over 14 years old should get at least 2.4 micrograms of vitamin B12 daily. Many people get this necessary amount of B12 from their diet. However, people with low B12 may require treatment with B12 therapy. This is essentially supplementing your natural B12 levels to ensure you have healthy amounts of this necessary vitamin. If you’re not getting enough B12 from your diet, visit our women’s health clinic to determine if you could benefit from B12 therapy. 

    Talk to Our Women’s Health Care Providers About B12 Deficiency

    An estimated 1.5% to 15% of people in the United States have been diagnosed with B12 deficiency. The number of people who are B12 deficient may be much higher, as many people go undiagnosed. Anyone can suffer from vitamin B12 deficiency, but some people are more at risk. For instance, because B12 naturally exists in meat products, vegans and vegetarians may be at a higher risk for B12 deficiency. In addition, people with gastrointestinal issues, such as Crohn’s disease, gastritis, or celiac disease, may also have low B12 because the body may not be able to absorb it properly. Finally, your risk for B12 deficiency also goes up with age, so if you’re 60 years old or older, you may have a higher risk for low vitamin B12. The good news is that your women’s health care provider can help find treatment options if you have B12 deficiency.

    B12 Deficiency Symptoms

    There are many different symptoms of B12 deficiency. If you notice symptoms of low B12, it’s important to talk to a women’s health care provider to explore treatment options to help you feel better and reduce your health risks. 

    Some common symptoms of low B12 include:

    • Depression
    • Confusion
    • Memory problems
    • Fatigue
    • Constipation
    • Unexplained weight loss
    • Loss of appetite
    • Numbness or tingling in the hands and feet
    • Difficulty maintaining your balance
    • Anemia symptoms
      • Fatigue
      • Shortness of breath
      • Irregular heart beat
    • Pale or jaundiced skin
    • Glossitis (inflamed tongue)
    • Mouth ulcers
    • Blurry vision

    If you’re suffering from symptoms of low B12, our doctors may look for underlying conditions that may be causing your symptoms. In addition, we may test your B12 levels to determine if you have enough of the vitamin in your blood. If you do have low B12, we can explore treatment options personalized to you. 

    Long-Term Effects of B12 Deficiency

    In addition to the many worrying and difficult symptoms you may experience, B12 deficiency can cause many serious health effects. We’ve mentioned that vitamin B12 plays many necessary roles in your body, which helps explain the many negative effects that B12 deficiency can have on your overall health. Low B12 can lead to anemia and even permanent neurological issues. Those with B12 deficiency also have an increased risk for psychosis, mania, and dementia, likely due to B12’s role in brain health. People with low B12 may also be more susceptible to the effects of infections. 

    Where Does Vitamin B12 Come From?

    B12 is a vitamin most people get enough of from their diet. It is naturally available in meat, fish, and some dairy products. For example, some foods that are high in vitamin B12 include animal liver, clams, beef, and tuna. Also, many other foods are often fortified with B12, such as many cereals, plant milks, fruit juices, nutritional yeasts, margarines, and tofu. However, as we have mentioned, many people don’t get enough B12 from their diet, or their bodies don’t absorb B12 very well, leading to B12 deficiency. In these cases, our women’s health care providers may recommend B12 supplementation through B12 therapy.

    How Women’s Health Care Providers Treat B12 Deficiency

    There are many different options for vitamin B12 therapy. It’s important to note that B12 therapy is different from multivitamins with B12, as B12 therapy typically features higher levels of the vitamin to help increase levels to healthy ranges for people suffering from B12 deficiency. Three common options for B12 therapy are B12 pills, injections, and sublingual tablets. One type may be better for you than another, so it’s important to discuss your specific circumstances with one of our women’s health care professionals. 

    B12 Pills

    One common option for B12 therapy is taking B12 pills. Once again, these are different from multivitamin supplements. These pills contain a man-made form of vitamin B12. Several studies have found that vitamin B12 pills can be as effective as B12 injections. However, it’s important to note that B12 pills aren’t the best option for everyone. For instance, if you have low B12 due to gastrointestinal conditions, your body may not be able to absorb enough of the vitamin from B12 pills for treatment. Therefore, in these cases, our women’s health care providers may recommend injections or sublingual tablets. 

    B12 Injections

    If B12 pills don’t work for you, typically doctors recommend B12 shots. These are intramuscular injections that help send vitamin B12 to your bloodstream. B12 shots may work well if you have a deficiency linked to malabsorption for the vitamin. Also, many women’s health care providers recommend B12 injections when your levels are seriously low and need quick intervention. B12 shots may offer faster results than oral supplements. Also, injections can often offer higher doses of B12 compared to pills and sublingual options. Therefore, if you need significant doses of B12, our providers may recommend injections for B12 therapy.

    Sublingual B12 Tablets

    Some people also do well with sublingual B12 tablets to increase B12 levels. These are tablets that you place under the tongue and allow them to dissolve. This allows you to absorb the vitamin through the tissues in your mouth. Sublingual B12 therapies are also an effective way to supplement your B12 levels. This option may help improve absorption for people suffering from poor B12 absorption. However, keep in mind that many people need to take sublingual B12 tablets every day to supplement their normal B12 levels. Some people find it easier to remember their B12 injections compared to treatment with sublingual tablets. Therefore, talk to our women’s health care professionals about which type of B12 therapy may work best for you.

    Visit Our Women’s Health Clinic for Vitamin Optimization

    Our health care professionals at HerKare are here to help you feel your best. We offer vitamin optimization treatments to help you improve your health. We work with you to identify vitamin deficiencies and find customized treatment solutions for you. Our team can help you address your nutritional needs and also offer supplements when you need them for vitamin deficiencies. Make an appointment to address your health today.

    Can Estrogen Replacement Therapy Help with Exercising?

    Can Estrogen Replacement Therapy Help with Exercising?

    We all know exercise is important for health. Yet, many people don’t get enough exercise on a regular basis for one reason or another. Several surveys and studies have also found that women are typically much less active after menopause than before menopause. Many scientists believe this may be due to hormone changes during menopause, particularly lower estrogen levels. Researchers are still studying the relationship between estrogen and activity levels. However, some studies suggest estrogen replacement therapy may help you feel more motivated and may even increase your capacity to work out. 

    Why Exercise is Important During and After Menopause

    woman exercising after beginning estrogen replacement therapy

    Many women exercise less after menopause, but can estrogen replacement therapy help with exercising?

    Before we learn more about how estrogen affects exercise, let’s talk about why exercise is so important as we get older and approach menopause. There are many reasons to be physically active throughout your life, including weight management, increasing muscle tone, getting stronger, and improving your overall health. Regular exercise is even more important as you reach menopause to help counteract certain health risks that increase around this time.

    As hormone levels begin to decline, bone density and lean muscle mass begin to decline as well, while body fat can increase. Around this time in a woman’s life, there’s also a higher risk for many chronic diseases as well as cardiovascular disease. Engaging in an active lifestyle can help reduce these risks for many people. Regular physical activity helps promote bone health and muscle mass and can also help with body fat management. Exercise in later life can help improve and preserve flexibility and mobility and can also improve heart health. Regular exercise has also been linked to fewer instances of chronic diseases common as we get older. 

    In addition to physical health, exercise can also be helpful for other areas of well-being, such as mental health. Being physically active can also boost energy and mood and can even help combat some of the symptoms of menopause, such as insomnia. Overall, exercise can be an important part of maintaining quality of life as we get older. 

    Despite knowing that exercise is helpful for many areas of health, many women have a difficult time exercising on a regular basis, particularly after menopause. There may be many reasons for this, but some researchers believe hormonal imbalances may be a factor. Many studies are researching hormones, exercise, and whether estrogen replacement therapy after menopause can help improve activity levels for some women.

    Estrogen Replacement Therapy Improves Menopause Symptoms that Make it Hard to Work Out

    Menopause can cause many symptoms that can make everyday life difficult or even downright impossible. Hot flashes, insomnia, fatigue, and depression are all common symptoms of menopause that affect your quality of life. These also frequently make it difficult to exercise, which may explain why many women are more sedentary after menopause. It’s easy to understand why you might have a hard time going to the gym when you’re experiencing such troublesome symptoms. Working up a sweat can be anxiety-inducing if you’re already suffering from frequent and severe hot flashes. Insomnia and fatigue can leave you feeling worn out, making a workout sound plain exhausting. Menopause depression can zap your motivation for getting your heart pumping with a quick exercise routine. This is one theory behind why lower activity levels tend to coincide with declining estrogen levels during menopause

    The good news is hormone replacement therapy relieves many women’s menopause symptoms. Hormone therapy helps replace some of the hormones lost during menopause, which may improve your symptoms. As menopause symptoms improve, many people find it easier to take part in regular exercise for your health and well-being. This may be one explanation behind why menopausal women who use estrogen replacement therapy tend to be more active than those who don’t according to research.

    Hormone Replacement Therapy with Estrogen May Act on the Brain to Increase Exercise Motivation

    However, there are other theories behind how hormones affect exercise after menopause. Some believe estrogen may have a more direct effect on exercise. A new study suggests estrogen may act on the brain to improve motivation for exercise. The study looked at estrogen levels and physical activity levels in female mice to determine if hormones play a role in exercise. 

    The urge to exercise begins in the brain. You feel motivated to exercise, so you act on that motivation. There are also many estrogen receptors in the brain, which may affect your impulse to work out. The study looked at how estrogen affected brain processes through a specific gene. Melanocortin-4 receptor gene (Mc4r), is a gene that plays an important role in energy regulation, food intake, body weight, and the motivation for physical activity. Estrogen binds to the Mc4r receptor and can help activate it. With higher estrogen levels, Mc4r caused increased protein production for the mice in the study. Those mice with higher estrogen levels tended to be more physically active than the mice with lower estrogen. 

    Researchers are still studying the effects of estrogen on the brain. However, the scientists in the study believe this may offer some evidence that estrogen is important for exercise motivation. The researchers noted that while the study involved mice, humans have similar anatomies, physiologies, and genetics. Therefore, they believe estrogen in humans may have similar effects on exercise and physical activities. They noted that their research may suggest that estrogen replacement therapy may help improve motivation levels for exercise for menopausal women. 

    Estrogen Replacement Therapy Can Increase Exercise Capacity

    Menopause can also affect how difficult exercise is, which may explain why many women are less active after menopause. Research shows that menopause may reduce exercise tolerance and oxygen consumption during exercise. This can make it feel harder to exercise, often leading to feeling more breathless, feeling muscle weakness, and other symptoms of low exercise tolerance, which can be discouraging and lead many women to exercise less than before menopause. 

    One study looked at exercise capacity for women before and after menopause. The researchers looked at many different factors to determine exercise capacity, which is the maximum amount of activity you can keep up. Some of the factors included the dilation of blood vessels, maximum workload, and peak oxygen consumption. Some of the group received estrogen replacement therapy for three months. The study found that estrogen significantly increased exercise capacity based on the factors they measured. The HRT group even achieved similar results to the pre-menopausal women in the study after just three months of hormone therapy. Therefore, this is just one other way estrogen may help with exercise after menopause. 

    Hormone Imbalance Treatment and Menopause Care at HerKare

    Our team at HerKare is committed to providing quality healthcare for women at all stages of life. We help with everything from hormone imbalance treatment to well woman care for patients of all ages. We believe in empowering women to take an active role in their health. Our clinic is owned and managed by women for women. We understand the need for convenient care from healthcare professionals that listen to you and take time to understand. Let us help you feel like yourself and feel good again. Book an appointment at one of our clinic locations to get started with the HerKare process.

    Women’s Health Care: What to Know About Vaginal Yeast Infections

    Women’s Health Care: What to Know About Vaginal Yeast Infections

    An estimated 75% of women will experience at least one vaginal yeast infection during their lifetimes. Some women experience yeast infections more frequently during and after menopause, often due to hormone changes. In some cases, other conditions you might experience during menopause can also increase the risk for vaginal infections like yeast infections. If you’re experiencing yeast infection symptoms, schedule a gynecological services appointment with our team to discuss diagnosis and treatment. Let’s go over some information you should know about yeast infections to help protect your health. 

    Summary

    • An estimated 75% of women will experience at least one yeast infection in their lifetime. A vaginal yeast infection happens when the normal balance of bacteria and yeast in the vagina is disrupted, allowing yeast to overgrown. Some women notice them more often during and after menopause due to hormone changes, especially low estrogen.
    • Many factors can trigger a yeast infection, including antibiotics that disrupt healthy bacteria, stress, lack of sleep, uncontrolled blood sugar, and hormone imbalances like fluctuating estrogen levels. Typical signs include burning during urination or sex, soreness, and a thick white or watery discharge resembling cottage cheese.
    • Fluctuating estrogen levels during perimenopause can disrupt the vagina’s natural balance of yeast, allowing it to overgrow. Conditions linked to menopause, such as vaginal atrophy, can also increase the likelihood of developing a yeast infection.
    • Seeing a gynecological provider can help confirm a yeast infection and rule out other causes with similar symptoms, such as bacterial vaginosis or urinary tract infections. Providers can also identify less common types of yeast and prescribe the most effective antifungal treatment.

    What is a Vaginal Yeast Infection?

    woman smiling after getting gynecological services for chronic yeast infections during perimenopause.

    Vaginal yeast infections are an overgrowth of yeast. Gynecological services can help with diagnosis and treatment of yeast infections.

    First and foremost, you might be wondering what a vaginal yeast infection is. Many of us have heard of them or even experienced them without really knowing what they are. To understand what a yeast infection is, it’s important to understand that the vagina is like its own ecosystem. A healthy vagina typically has an acidic pH with a balance of bacteria and yeast. Those bacteria and yeast actually help keep your vagina healthy! However, if the balance between them gets thrown off for one reason or another, then the yeast cells can start to multiply and take over. When this happens, you experience a yeast infection. If you think you have a yeast infection, gynecological services can help diagnose the problem and one of our providers can prescribe treatment for the yeast infection.

    Symptoms of Yeast Infections

    There are many signs that can point to a yeast infection. Some common symptoms include:

    • Itching
    • Swelling
    • Redness
    • Pain during sex
    • Burning during urination
    • Soreness
    • Rash
    • White, clumpy discharge (like cottage cheese)
    • Watery discharge 

    However, it’s also important to keep in mind that other conditions can cause similar symptoms. This can make self-diagnosis tricky, which is why we recommend visiting one of our gynecological service providers if you’re experiencing yeast infection symptoms.

    Causes of Yeast Infections

    There are many potential causes of yeast infections. For instance, taking certain antibiotics can raise your risk for yeast infections because they can reduce the number of healthy bacteria in your vagina responsible for keeping yeast cells in check. Other common causes include stress, lack of sleep, and uncontrolled blood sugar if you have diabetes. 

    Hormone imbalances may also be a risk factor for yeast infections. Hormones can have a pretty big impact on your vagina’s delicate microbiome. Fluctuations in estrogen can lead to an overgrowth of yeast and eventually a yeast infection. Therefore, some women notice that they get yeast infections more often during perimenopause when hormone levels start to change. During this time period, vaginal atrophy is also pretty common, which can also increase your risk for vaginal infections. We’ll discuss these common menopause-related causes in more depth a little later. 

    In many cases it can be difficult to determine the exact cause of your yeast infection. Also, in some cases they may not be preventable. It’s important to talk to one of our gynecological treatment providers about your symptoms and what you can do to help avoid yeast infections. Some general tips involve following good hygiene practices, keeping your vulva clean and dry, and avoiding potentially irritating things like scented bath products. Our treatment providers can help determine other changes that may help your specific situation.

    Why Get Gynecological Services for Yeast Infections?

    Some women choose to self-diagnose and self-treat yeast infections with over the counter medications. However, our team generally recommends scheduling an appointment with a gynecological services provider if you think you have a yeast infection. 

    There are several reasons to visit one of our treatment providers for a yeast infection. Self-diagnosing a yeast infection can be quite difficult. Several studies have found that women frequently misdiagnose themselves with yeast infections. One study showed evidence that only 34% of the study participants who purchased over-the-counter yeast infection treatments had accurately diagnosed themselves with a yeast infection.

    Many other conditions can have similar symptoms to yeast infections. For instance, bacterial vaginosis, urinary tract infections, or even allergies from soaps or skincare products. Seeing a doctor can help rule out other causes of your symptoms and help verify that you have a yeast infection. One way to diagnose a yeast infection is to perform a lab test of your discharge to look for an overgrowth of yeast cells. 

    In addition, most over-the-counter yeast infection treatments are geared toward the most common type of yeast that causes yeast infections. However, some women may have a yeast infection from another type of yeast. Therefore, OTC treatments may not work for you if your yeast infection is due to another strain of yeast. In these cases, one of our providers can help identify the specific type of yeast and prescribe treatments specifically for that type of yeast infection. This can help you get the right type of treatment rather than deal with ongoing symptoms from using the incorrect anti-fungal treatments.

    Can Menopause Cause Yeast Infections?

    Vaginal yeast infections can occur at any age. However, some women notice they get more yeast infections during and after menopause. Some common conditions you may experience during menopause can increase your risk for yeast infections. In addition, some of the symptoms of menopause can make you more vulnerable to yeast infections.

    Vaginal Atrophy

    We mentioned vaginal atrophy earlier as a potential risk factor for vaginal infections. Vaginal atrophy occurs when the tissues of your vagina become thin and dry. It’s pretty common with low estrogen levels during and after menopause. Vaginal atrophy may increase the risk for yeast infections, as it can change your vagina’s pH, bacterial levels, and yeast levels. These changes from vaginal atrophy can make your vagina more vulnerable to yeast overgrowth and yeast infections.

    Also, some women even mistake vaginal atrophy symptoms for yeast infections. Vaginal atrophy can cause itching, irritation, pain during sex, and several other similar symptoms to yeast infections. This can lead some women to believe they have a yeast infection when they don’t. Gynecological services such as a pelvic exam and lab testing of vaginal discharge can help determine if you have a yeast infection or if there may be other causes of your symptoms. 

    Other Common Conditions During Menopause that can Lead to Yeast Infections

    Also, there are other conditions you might experience during menopause that can increase your risk for yeast infections. For instance, many women experience frequent urinary tract infections during menopause due to low estrogen levels and vaginal atrophy. The most common treatment for UTIs involves taking antibiotics, which, as we mentioned earlier, can increase the risk for yeast infections. If you’re struggling with frequent UTIs after menopause, you may also experience more frequent yeast infections due to the antibiotics. 

    In addition, poor sleep can lower your immune system and increase your risk for yeast infections. Many women experience poor sleep during menopause due to hot flashes and night sweats. Frequent sleep issues during menopause may lead to vaginal yeast infections as well. Therefore, there may be many factors at play if you’re experiencing yeast infections during menopause, such as menopause symptoms that can affect your health. 

    Gynecological Services Can Help Address Underlying Causes of Yeast Infections

    Sometimes yeast infections just happen, but symptoms should go away with treatment. However, if you have four or more yeast infections per year, you might have chronic yeast infections. This is important to discuss with one of our women’s health care providers, as there may be underlying causes to chronic yeast infections.

    Treating underlying conditions may help reduce the number of yeast infections you get. For instance, if you’re struggling with vaginal atrophy after menopause, we may recommend estrogen or vaginal creams to help moisturize and thicken vaginal tissues, which may help reduce the number of yeast infections you experience. In other cases, our providers may recommend taking yeast infection medications for a longer period of time to help with chronic yeast infections.

    One of the first steps toward getting help for frequent yeast infections is scheduling an appointment for gynecological services from our team. Our providers can go over your medical history, symptoms, and perform examinations and tests to determine if there may be underlying causes to your yeast infections. 

    Quality Women’s Health Care and Gynecological Services at HerKare

    Our professionals at HerKare are here to help you feel your best, whether you have chronic yeast infections or need preventative well woman care. We are a women’s health clinic owned and managed by women. We take time to listen and understand what you’re feeling to help provide quality care for a wide range of conditions, from gynecological concerns to menopause symptoms. Make an appointment today to discuss how we can help you address your health.