How-To: Have Great Sex after Menopause

Menopause is a time of transition, both for those who are going through these hormonal changes themselves as well as for their sexual partner(s). But is it still possible to have great sex after menopause? Yes. Yes, it is. Here’s how!...more

7 Things To Know About Perimenopause (AKA Why I'm Crying/Yelling/Bleeding Everywhere)

I’m not mourning the possible loss of fertility. I’m mostly just waiting to see what happens next, like some sort of hormonal roulette. Content notice: pregnancy, birth, graphic description of menstruation.When I was in fourth grade, I wore a size 28AAA bra.AAA is not a size. It’s just a nice way saying “you have literally zero breast tissue.”...more

I'm Feisty For My Age

Everyone has that moment, I think, where you suddenly see your reflection in another person’s eyes, and it is an unwelcome reality check....more

Musings of A Menopausal Mistress

Aging as a woman is a completely wild ride.It started as the preciousness of a baby’s tender, soft feet and moved to the subtly-curled toes I now have, described as “hammer” by the young, flippant bone doctor who was recently released from medical school. He’s wrong. My toes have been slightly curled since I was five. My white Mary Jane-style sandals were too small, and when I kept telling my mother that my toes were crunched, she thought I just wanted new shoes. Well guess what, my toes as they were growing, retained that too-small subtle curl....more

3 regrets

I never imagined that I would be almost 50 and not have children.  Since I was a kid I wanted my own kids.  I have 3 major regrets (about this). ...more

Are You Struggling to Gain Control of Your Weight?

Knowing what to eat to gain control of our weight has become very confusing. What should I eat?One group says go high fat, low carb; another says go vegetarian for the best weight loss and weight control. Most medical professional still stick with a low fat diet as the healthiest. Until the FDA changes it official recommendations, most dietary associations will also continue to recommend low fat and a decent amount of carbs as a daily recommendation.So what can you or I do to better manage weight as we age through our later decades?...more
The 1200-1500 mg of recommended daily calcium is for the standard diet and standard lifestyle. ...more

Do You Need Contraception After 40?

It always comes as news to my forty-something patients that they can still get pregnant. Of course, I am not saying that a midlife pregnancy is an easy feat to accomplish. But it definitely happens with more frequency than you realize. In fact, statistically speaking, when it comes to unintended pregnancies, the perimenopausal crowd is right behind those young and fertile teenagers. The reason for this is simple. Midlife women think they are too old to get pregnant, so they do not use contraception....more
I say yes. If you don't want another bun. I have a friend, conceived when her mom was about 43.more

September is National Menopause Awareness Month

There are approximately 65 million menopausal women in the US, and I am willing to bet that most of you have no idea that there is an actual month devoted to raising awareness about this important life stage. Am I right? The only reason I know about it is because I belong to the North American Menopause Society, which is dedicated to the education of both health care professionals and menopausal women. In addition to the fact that I am a gynecologist who specializes in midlife women’s health, I also hit the BIG 5-0 this year....more

Is Flibanserin (ADDYI™) the Answer to Your Low Libido Prayers?

As a practicing GYN in New York City, I am getting a lot of calls lately from my predominantly perimenopausal and menopausal patients, asking whether they are candidates for Flibanserin (ADDYI™) when it becomes available in the next few months. Whenever a new drug comes along, I am always cautious about prescribing it, until I feel certain that I understand all the benefits and risks. And in the case of Flibanserin (ADDYI™), it is also very important to narrow down who are the right candidates for this new medication....more

Is Testosterone The Answer To The Low Libido Question?

If you are a menopausal woman, chances are pretty good that your sex drive has slowed down since your “roaring twenties and thirties”....more