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menopauseMenopause is described as occurring 12 months after a woman’s last menstrual period, marking the end of her menstrual cycles. It can occur in a women’s 40s or 50s, but the average age is 51 in the United States.

Menopause is a normal biological process and although it marks the end of your fertility, you can remain healthy, vital and sexual. The physical symptoms typically disrupt a woman’s sleep, lowers her energy level or even initiate anxiety or feelings of sadness and loss.

Perimenopause, Premenopause and Postmenopause

The date of menopause is the day after the final cycle of menstrual flow ends. “Perimenopause” is a term used to describe the menopause transition years – which is the time both before and after a woman’s last period ever – that occurs while hormone levels are still fluctuating inconsistently.

“Premenopause” is the word used to describe the years leading up to menopause.

“Postmenopause” is the part of a woman’s life that ensues after the date of menopause. When a woman with her uterus intact has spent a year with no menstrual flow, she is considered to be one year postmenopausal.

Hormone Replacement Therapy

Hormone replacement therapy (HRT) includes estrogens or a combination of estrogens and progesterone. HRT has been used to control the symptoms of menopause such as hot flashes and vaginal dryness.

Hormone replacement therapy is available in pill, patch and spray form, transdermal form. Various preparations are available for oral and transdermal forms of HRT, and they vary in both the type and amount of hormones contained in the products.

Bone Health

Osteoporosis is a major health concern for women who reach the midpoint in their lives. Bone health can be preserved, however, with proper nutrition that includes sufficient amounts of calcium and vitamin D.

Not smoking and drinking too much – along with an exercise program – has also been shown to slow the effects of bone loss, but medication may be prescribed if it becomes severe.


The loss of estrogen and testosterone during menopause can lead to changes in both a woman’s body and her sexual energy. Women who are in the menopausal and postmenopausal stages may not be aroused as easily, and may be less responsive to touching and stroking, which can lead to less interest in sex.

Also, lower levels of estrogen during menopause can cause a reduction in blood flow to the vagina, which can cause the vagina to be too dry for enjoyable sex.

If you’re interested in more information regarding what to expect during menopause – or need relief for the symptoms right now – and are in need of a reputable and personable OB-GYN Montgomery TX residents rely on the professional and caring staff at New Beginnings OB-GYN under the direction of Dr. Rania Ibrahim  in Conroe, TX.

Don’t wait – call us today at (936) 441-8635 to schedule your confidential consultation.


Are you looking for an ObGyn in Conroe TX?

Dr. Rania Ibrahim is an Obstetrician and Gynecologist with a Medical Practice located in Montgomery County, serving patients in Conroe, The Woodlands, Spring and Magnolia, Texas. New Beginnings Ob/Gyn offers many services including Prenatal care, treatment of hot flashes and menopause symptoms, treatment of endometriosis and painful periods, uterine ablation, routine well women exams, infertility treatment, as well as treatments of urinary incontinence and pelvic organ prolapse.

You can work together from the initial consultation to the implementation of your own personal birth plan, and follow-up. Dr. Rania Ibrahim has enormous experience in high risk obstetrics. She is a skilled surgeon and has an excellent and caring team.

Dr. Rania Ibrahim is sympathetic to the needs of women. She specializes in minimally invasive surgery and performs robotic (DaVinci) assisted myomectomies and hysterectomies.


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New Beginnings OB-GYN proudly serves the residents of Montgomery County, Conroe, The Woodlands, Spring, and Magnolia, Texas.

Note: Hospital deliveries and procedures are conveniently offered at Conroe Regional Medical Center, CHI-St Luke’s-The Woodlands, and Memorial Hermann Medical Center-The Woodlands