Women’s Health Menopause and Hormonal Balance


What are  Menopause and Hormonal imbalances and how do they affect women?

Let’s face it, women’s hormones can be a real challenge. A woman undergoes hormonal changes even before she begins her first period, then cycles with her hormones properly or improperly every month, and then begins a long journey of ending her reproductive years with ultimately going into menopause or postmenopause.

What are the symptoms?

PMS, or Premenstrual Syndrome, occurs 7-14 days prior to menstruation. Typical symptoms include decreased energy levels, tension, irritability or mood swings, depression, headache, food cravings, altered sex drive, breast pain, backache, abdominal bloating, and swelling of the fingers, feet and ankles.

Peri(pre)menopause may last 5-15 years on average before a woman is officially (post)menopausal. That is defined by the end of a woman’s menstrual cycles and the end of her natural childbearing years. Typical symptoms include hot flashes, night sweats, headaches, decreased energy levels, thinning and drying of vaginal tissue, altered sex drive, bladder infections, cold hands and feet, forgetfulness, inability to concentrate, mood swings, anxiety, depression, and insomnia.

What are the treatments for hormonal Imbalances and menopausal Care?

Dr. Janine Rihmland has extensive experience in diagnosing and treating hormonal imbalances. She has prescribed Bio-Identical or Natural Hormone Replacement since 1999 and has added other treatment options along the way. At The Health Center for Integrative Medicine, Dr. Rihmland will take a thorough history and exam and do an appropriate work-up that may include laboratory testing (even saliva testing) and any appropriate diagnostic scans. Treatments will vary from woman to woman and will be integrative in nature. Dr. Rihmland may utilize pharmaceutical medications, but she will also have a whole host of other things, including the bio-identical hormones,  that can be added or substituted in place of those. Furthermore, we will make sure to address other important life issues that may be impacting a hormonal imbalance.

If you are having difficulties finding answers or therapies for your hormonal imbalances or are looking for the right doctor to partner with you in this journey, please contact us

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