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IUD Options

For convenience in birth control, it is hard to beat the IUD (intrauterine device).  Currently in the US, there are three options available. The oldest one on the market is the Paragard® IUD. It ...

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Menopause

The transitions of perimenopause & menopause...
Greet them in good health

At around age 40, our bodies begin the transition toward menopause. The process is different for everyone, but those first signals of change may include worsening periods, abnormal bleeding, mood swings and a range of other disruptive symptoms.

For many women, this is a time of uncertainty. Are these symptoms the beginning of menopause or signs of a medical problem?

This time in a woman’s life is called perimenopause, and its symptoms can be managed. Dr. Roberts has a special interest in helping women in this stage of life with the latest, most effective treatment options. You’ll also get plenty of accurate, empowering information to help you make the best decisions regarding your health. Dr. Roberts can help you feel your best right now while setting the stage for a healthy, happy new part of your life.

If irregular periods or menorrhagia during perimenopause interferes with your normal activities, Dr. Roberts can offer you options to minimize their impact. She also has a special interest in managing hot flashes and other issues of menopausal women. Many choices are available both with nonhormonal medications as well as bioidentical hormone replacement therapy and other menopause treatment. 

Hormone Replacement therapy

Hormone replacement therapy (HRT) for menopausal women has been available for over 50 years, but there is still no agreement regarding the best forms and duration for its use. The most common reason for HRT is severe hot flashes that have not been helped by lifestyle changes and nonhormonal medications. Current analysis shows that if HRT is started at menopause and continued, there are probably more health benefits than risks. These advantages include lower risk of heart disease, bone loss and colon cancer; and improved quality of life is one aspect that should be considered but cannot be accurately measured. Blood clots have been of concern with estrogen, but this risk can be negated by use of a transdermal, skin-applied medication. It is still possible that long-term estrogen use might very slightly increase the risk of breast cancer, so you may want to consult with your physician if you desire to continue it for more than five to ten years.

Almost all hormone replacement medications today are “bioidentical” or “bioequivalent.” Whether obtained pre-made or compounded at the pharmacy, they contain estradiol, progesterone and/or testosterone made from plant precursor materials. A wide range of doses is available, and Dr. Roberts will be glad to work with you to find the forms and amounts that work best for you. Blood levels are sometimes helpful but are not always required. If a woman still has a uterus, progesterone will be needed for its excellent protection against uterine lining (endometrial) cancer. Since it is possible to have menstrual-type bleeding when estrogen and progesterone are replaced, Dr. Roberts will offer you options to keep the disruption to a minimum.

Enjoy your life

Menopause really can be a most fulfilling, enjoyable time. After all, you probably have a better sense of yourself and more time and resources to really enjoy life. Dr. Roberts is dedicated to nurturing your health so you can do just that.

Consider her your personal guide through this time of change. With Dr. Roberts’ care, you’ll get solutions for fluctuating hormone levels and for all your evolving health needs. The effects of hot flashes, mood swings and the other symptoms that keep you from feeling your best can be minimized so that you can get the most out of this special time.

Our menopause patients come to us from Raleigh, Cary, Apex, Holly Springs and Wake Forest, near Brier Creek in Wake County, NC. Get the most out of this special time in your life and let Dr. Lee Ann Roberts help you. Call 919.881.7766 today or use our online Request an Appointment form to schedule your consultation.