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Women’s Health


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Menopause is a natural, normal body change that happens when a woman stops menstruating. Every woman is different, but menopause tends to occur between the ages of 45 to 55, although early menopause and late menopause happen quite frequently. Approximately 37 million women are currently in menopause in the U.S.

The Menopause Process

Menopause is often not a sudden event. For many women, it occurs gradually over months to years before one is actually in menopause.

Perimenopause starts when you begin having menopause symptoms and can last up to 10 years. During perimenopause you will still have periods and can still become pregnant.

Menopause occurs naturally when your ovaries start making less estrogen and progesterone. This results in reduced hormone levels and causes your ovaries to stop producing eggs and your periods to stop. Menopause is considered complete when you have not had a period for one year.

Postmenopause occurs when you have not had a period for one year. This indicates your ovaries are no longer releasing eggs. You cannot become pregnant once you are postmenopausal.

Top 10 Menopause Signs & Symptoms

  1. Excessive sweating during night/sleep disorders
  2. Hot flashes
  3. Vaginal dryness, discomfort and pain during sexual intercourse/loss of libido
  4. Weight gain/loss of fitness
  5. Skin changes
  6. Mood swings
  7. Fatigue
  8. Genitourinary problems (issues that affect the urinary and genital tracts)
  9. Brain fog
  10. Loss of interest in life

St. Luke’s Natural Approach to Menopause

St. Luke’s approach to caring for you during menopause is more natural and tailored to your specific needs than many other approaches. In most cases, you and your doctor will discuss your medical history in detail, including your symptoms, your diet, exercise and sleep patterns and your family history. You will undergo a series of hormone tests and update other important tests such as a mammogram and Pap smear. Your risk for hormone use will be assessed and any alternatives such as herbs and botanicals will be discussed. Specific recommendations for diet, exercise and nutritional supplements will be made, and you will be scheduled for close and careful follow up to provide maximum benefit and the highest quality care.

Meet Our Team

Albert J. Peters, DO, FACOG

Dr. Peters is a reproductive endocrinologist and has fellowship training in integrative medicine. He takes a natural approach to menopause including nutrition, exercise and sleep and is well versed in the use of bio-identical hormones.

Ann Freeman, DO

Dr. Ann Freeman has been practicing Gynecology for 20 years. She is certified as a Menopause Practitioner and uses a comprehensive approach to menopausal symptoms with a special interest in nutrition and exercise.

James McGuire, MD, FACOG

Dr. McGuire is a board-certified obstetrician and gynecologist whose practice has been built on establishing trusting relationships in a compassionate and welcoming environment for more than 37 years. He enjoys working with his patients and offering various treatment options as they face the challenges of the peri- menopausal and menopausal seasons of their lives.

Douha Sabouni, MD

Dr. Sabouni is a board certified OB/GYN with expertise in minimally invasive surgery who has special interest in helping women cope with menopausal symptoms through life style modification and medical management.

Angela MacMillan, CRNP

Angela MacMillan is a graduate of the University of Pennsylvania, a board certified women’s health nurse practitioner and a NAMS-certified menopause practitioner. She has also completed specialized training as a sexual counselor. She focuses her individualized care on all aspects of the menopausal woman, including treating symptoms of menopause, sexual concerns and overall well being.

Valerie Schissler, CRNP

As a nurse practitioner in urogynecology and women’s health for 20 years, Valerie Schissler is devoted to restoring and maintaining an excellent quality of life for women in every stage of menopause.

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