Menopause Specialist

Bethesda Endocrinology

Michael Emmer, MD

Endocrinology & Internal Medicine located in Bethesda, MD

Menopause is a normal part of aging for women, but it can cause uncomfortable, sometimes severe, symptoms that may make life unbearable or exhausting. To get relief from your menopause symptoms, visit Bethesda Endocrinology for hormone replacement therapy (HRT). For more than 40 years, Michael Emmer, MD, has provided personalized solutions to menopause symptoms, and he can help you find the best course of treatment for your needs. Set up a visit today by calling the office in Bethesda, Maryland, or using the online booking tool.

Menopause Q & A

What causes menopause?

Menopause occurs when your ovaries stop producing the female hormones estrogen and progesterone. These hormones are responsible for regulating ovulation and your menstrual cycle. Once you reach menopause, you no longer have periods and can’t get pregnant.

This is a normal part of a woman’s health cycle — sometimes called “the change” — but treatment can reduce the severity of menopause symptoms and improve your quality of life as you go through this natural transition.

When does menopause occur?

Menopause is marked by the permanent end to a woman’s menstrual period. In the United States, the average age at menopause is 52, though you can experience it any time between the ages of 45 and 55.

Menopause is preceded by perimenopause — when symptoms of menopause begin — and followed by post-menopause — when your body begins to adapt to the changes after menopause. In most cases, symptoms of menopause are gone during the post-menopausal period, though you may experience new symptoms as your body no longer produces estrogen and progesterone.

What are the signs of menopause?

Menopause symptoms occur as your body produces fewer hormones. Unfortunately, the levels of your hormones can fluctuate throughout menopause, causing some uncomfortable symptoms, such as:

  • Hot flashes
  • Night sweats
  • Insomnia
  • Weight gain, especially in the abdominal area
  • Mood changes, including anxiety and depression
  • Decreased sex drive
  • Vaginal dryness
  • Irregular periods

These symptoms can flare up during some months while they may be less severe in other months. This all depends on your hormone levels in that given month. Treatment can reduce these flare-ups and make the transition smoother.

How is menopause diagnosed?

Menopause is diagnosed based on your symptoms, age, and blood testing. Dr. Emmer orders blood testing to check your hormone levels and determine the severity of your menopause symptoms.

Based on your evaluation and exam, he may recommend treatment to reduce the severity of your symptoms.

How is menopause treated?

The primary treatment option for menopause symptoms is hormone replacement therapy (HRT). HRT comes in many forms, such as pills, patches, under-the-skin implants, and creams. HRT works by providing low doses of estrogen and progesterone in order to balance your hormones and slowly wean you off of them permanently. This reduces flare-ups and the roller coaster of side effects common during menopause.

Dr. Emmer may recommend HRT to manage your symptoms, if appropriate.

To discuss your menopause symptoms with Dr. Emmer, call Bethesda Endocrinology or use the online tool to book an appointment.