• Services

    At the Memorial Center for Menopausal Medicine, we understand that the transition through menopause brings a variety of serious physical, emotional, and lifestyle issues. Pamela Gaudry, M.D., listens closely to her patients and works with them to find the best treatment and coping techniques for each individual woman. Menopause is a time of change, but it should not be debilitating or decrease your quality of life.

    Hot Flashes

    The Memorial Center for Menopausal Medicine offers several options to help women take control of moderate to severe hot flashes. According to Pamela Gaudry, M.D., women should understand all of their options and find the one that works best for them. Treatment might include:

    • Systemic estrogen therapy
    • Low-dose anti-depressants or anti-anxiety medications
    • Exercise such as yoga and Pilates
    • Weight loss
    • Herbal remedies

    Gaudry also reminds patients that hot flashes will not last forever, and neither will the need for treatment.

    Low Libido

    The hormonal changes of menopause contribute to vaginal dryness, thinning, and inflammation. The blood supply to the vagina decreases with the lack of stimulation of estrogen receptors in the pelvic tissues. Unfortunately, this may increase problems with incontinence and loss of elasticity of the vagina (it doesn’t stretch anymore).

    As we age, other health problems can also decrease blood supply to the pelvic area, such as hypertension, high cholesterol, heart disease, smoking, and diabetes. Medications, such as anti-hypertensives, anti-depressants, anti-ulcer (GERD), and anti-cancer drugs are more likely to be prescribed, possibly affecting sexual response.

    Depression, grief, emotional conflict, sadness, and feelings of being overwhelmed and unappreciated also can cause a significant lack of libido. These problems can significantly strain a sexual relationship.

    Gaudry works with women to help them restore their libido and enhance their relationships. Treatment may include:

    • Prescription drugs such as ADDYI.
    • Gels to increase blood flow to the vulva
    • Kegel exercises
    • Lifestyle changes
    • Counseling
    Vaginal Dryness

    As women progress through menopause, they experience a profound loss of estrogen and significant thinning of the vaginal walls. This leads to uncomfortable vaginal dryness and painful intercourse.

    Many menopausal women benefit from vaginal estrogen. This type of estrogen is minimally absorbed and works to keep the vaginal walls thick and spongy. It can be given in a vaginal cream, pill, or ring. It enhances lubrication glands and helps maintain the elasticity of the vagina.

    Gaudry encourages women to get help for vaginal dryness as soon as it becomes a problem. She warns that the longer you go without estrogen, the worse the dryness and pain may become.

    If you need help managing the symptoms of menopause, contact us for an appointment