Answers for your specific questions.

Wondering about your health? Confused by what you’ve read? Browse our Ask the Nurse answer archive to find answers to many women's health questions and concerns. All answers are from a Cleveland Clinic women's health nurse.

Ask the Nurse Archive

Menopause Symptoms: Vaginal Dryness and Painful Intercourse

September 22, 2014 at 11:14am

I had an endometrial ablation a couple of years ago and my sex life has completely changed. I am now experiencing vaginal dryness and my libido is on zero. I also am experiencing painful intercourse and am having light bleeding after sex.

I changed doctors because I wanted a female doctor. My physician gave me a blood test and said I was not in peri-menopause because I am only 47 years old. Can you please tell me how can I get some relief?

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Emotional Changes During Menopause

July 21, 2014 at 6:22am

How can I cope with emotional changes during menopause?

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Side Effects of HRT Therapy

June 26, 2014 at 9:54am

I’ve just been perscribed HRT therapy: estradiol (vivelle-dot) 0.1mg and progesterone micronized 200 mg. But I have not started it, yet.

I also take 50,000 vitamin D weekly, which I started about 6 months ago.

What health risks are associated with the HRT outlined above? Will I gain weight from this HRT? Will my body composition change as a result of the HRT? How will my hair and skin change?

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Is it okay to skip medication?

May 28, 2014 at 12:41pm

I had a full hysterectomy 6 years ago and now I am 45 years old. I have been taking 1mg of estradial since my surgery, and I wanted to know if I don’t take my estradial for a few days what would happen? The doctor drags her feet when it comes to refills, therefor I have to wait till she gets around to approving my prescription. Right now, it’s been one day and I am feeling very weak, light headed, dizzy and can’t walk straight - just concerned if I’m going to be ok without it?

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Treatment for Lack of Desire

April 28, 2014 at 9:28am

I’m a post-menopausal breast cancer patient. I was Stage I, had a mastectomy, and had no lymph node involvement. They got everything, so I didn’t need chemotherapy because the Oncotype testing ruled it out.

Based on a recommendation from a Nurse Practitioner, a friend of my Primary Care Physician, I’m seeking a hyaluronic cream vaginal lubricant. It’s been a year and a half since I’ve been able to have sexual relations. I’ve been using a very small amount of HRT, but it’s not helping enough - and this is what the docs want me to do! Any advice on which ones and where to obtain them.

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Vaginal Dryness and Painful Intercourse Treatment

April 27, 2014 at 7:56am

Are there any special products for vaginal dryness? I am 55 years old, going through menopause and experiencing vaginal dryness and painful intercourse.

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Weight Gain and Hormone Therapy

April 18, 2014 at 5:50am

I feel like I continue to gain weight while on Hormone Replacement Therapy (HRT). I’ve exercised five to six times a week since I was 18 years old. I also do cardio five days a week.

I went on bio-identical HRT three years ago and my body composition has changed in an awful way. I have gained roughly 10 pounds. Is it the hormones or would it have happened anyway? I get so down about it that I feel like I don’t want to go to the gym anymore because it’s a waste of my time.

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Hair Loss and Menopause

April 16, 2014 at 8:58am

My hair is falling out of my head. I have had bloodwork done, but no doctor seems concerned. I am in the beginning stages of menopause and have read that hair loss is normal.

What type of doctor should I see for potential hormone treatment? I really don’t want to wait until I am bald to get help!

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Long Periods

March 30, 2014 at 8:55am

I started on a hormone therapy pill back in September (Estradiol 1 mg). A month after starting the hormone therapy pill, I completely stopped having periods. I then got my period about 4-5 months later and it’s still going. It stops for a day or two and then starts right back. I recently quit taking the hormone pill, hoping to stop the bleeding. My period is now light, but still there.

Is it common to bleed like this?

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Weight Gain After Hysterectomy

March 29, 2014 at 5:47am

I had a partial hysterectomy last year, and since then I have gained almost 25 pounds. I am still very active as I was prior to the hysterectomy.

I get hot more often than not, but don’t feel it is a true hot flash. I am not sure if the weight gain is from lack of hormones, but would appreciate any suggestions.

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