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For consultations or referrals, please contact:Dr. Wen Shen
Menopause is a normal biological event that occurs in all women. The average age of menopause in the United States is 51 years old; however, this age varies and can occur between 40 and 60 years old. It is diagnosed by loss of menstrual periods for 12 consecutive months.
The onset of menopause is affected by:
Estrogen and progesterone have critical effects on the reproductive system, urinary function, bone and mineral metabolism, cardiovascular function and memory and cognition. Lower levels of these hormones in the blood can produce unpleasant symptoms and can be treated in appropriate patients.
Symptoms of menopause vary from woman to woman but will probably include any or a combination of the following:
Perimenopause or the "climacteric" is the phase that usually precedes the menopause and usually lasts three to five years.
Perimenopause can cause symptoms that are due to changes in estrogen and progesterone production by a woman’s ovaries. During this time a woman can experience the following symptoms:
Treatments are available for these symptoms, but they are not for everyone and must be discussed individually with a provider in menopause health. These treatment options include:
Sometimes, in the course of medical treatment, physicians may induce artificial menopause in a woman. Gynecological cancers and autoimmune diseases are among those conditions for which treatment may involve artificially induced menopause.
Dr. Shen is an expert in treating those women as well as women who have menopausal symptoms superimposed on other chronic medical problems. Dr. Shen works with a patient’s primary physician and will recommend non-hormonal therapies and possible alternative options to treat these women’s symptoms when possible.
Consultations take place at Johns Hopkins at Green Spring Station.
Women today are living longer and more productive lives. It is important for each individual to understand what can be done to promote optimal health during the peri- and post-menopause. It is during these times that women are at increased risk for osteoporosis, coronary heart disease, breast cancer and Alzheimer's disease. Prevention and early detection of these conditions are essential.