June 8, 2020

Even as a child, Leslie Meserve knew she wanted to be a doctor. She was 24 when she earned her medical degree, but it wasn’t until later that she found her true calling. “When I hit 40 a few years ago,” she says, “something really shifted. I realized I’m the only perso...

Did you know the average woman gains 1.5 lbs per year during the transition into menopause? Weight gain during midlife may be common, but it’s not inevitable. Menopause spurs various physical and hormonal changes within our bodies. Our goal is to help you understand wh...

A hot flash is the body’s way of activating cooling mechanisms.  During a hot flash, the body releases heat through the skin, produces sweating, and promotes behavior that cools the core body temperature. We call these episodes hot flashes during the day and night swea...

As estrogen declines with menopause, the tissues of the vagina start to lose their elasticity, thickness, and strength, and the vaginal pH can change. Applying estrogen to those tissues can improve the health of the vagina by increasing blood flow (by increasing the nu...

When we think of menopause, we tend to think of the caricature version of a woman sticking her head in the freezer or desperately fanning herself to survive a hot flash. While hot flashes are definitely a hallmark symptom of menopause, there are dozens of other symptom...

Why Estradiol?

I'm sometimes asked why estradiol is used by itself in menopausal hormone therapy even though there are 3 forms of estrogen - estrone (E1), estradiol (E2) and estriol (E3).  

Estrone (E1)

Estrone levels remain constant and do not decline with...

We can test many types of hormones in the blood stream with simple laboratory tests.  We pretty regularly get the question, “shouldn’t I be checking my hormones?”   

Hormones include cortisol, parathyroid hormone, insulin, growth hormone, renin, prolactin...

Estrogen plays an important role in the health of the vagina. During menopause when women’s ovaries stop producing estrogen, changes in the vaginal tissues can occur. This constellation of symptoms has suffered a naming crisis over the years - being called vaginal dryn...

Estrogen could save your memory!  We don’t want to overstate estrogen’s benefits, but seriously, it has gotten such a bad wrap over the years that it deserves our praise for this incredibly important function.  Don’t we want to remember how great life is?


March 26, 2020

Dr. Meserve, what are your top three sex tips for people who have gone through menopause?

  1. Advocate for your sexual health. If you have any concerns about your sexual health - pain, decreased interest, decreased ability to orgasm, or lack of pleasure, speak to a qual...

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