OBGYN Turlock

Fatemeh Pazouki, M.D., FACOG

OB/GYN located in Turlock, CA

Menopause is a natural event, but that doesn’t mean it can’t cause unpleasant symptoms. The good news is, there are several ways to treat and relieve menopause symptoms so you can enjoy a better quality of life. At OBGYN Turlock, Dr. Fatemeh Pazouki offers comprehensive menopause care, including hormone replacement therapy and other options. As a top gynecologist in Turlock, California, Dr. Pazouki is skilled in helping each patient choose the best treatment option based on her needs and preferences. Call or book online today to schedule an appointment to discuss how Dr. Pazouki can help you.


What causes menopause?

Menopause is caused by a natural decline in the hormones estrogen and progesterone that occurs as a woman gets older. Eventually, this decline causes a woman to stop having periods and be unable to become pregnant. Most women begin to experience the symptoms of menopause sometime in their 40s with periods ending completely by the time she’s in her mid 50s. A woman is said to be “in menopause” when she hasn’t had a period for 12 consecutive months. The time leading up to menopause is called perimenopause, although the entire time period if often referred to simply as “menopause.”

What symptoms occur during menopause?

Menopause causes lots of different symptoms, and most women won’t experience all of them. The most common menopause symptoms include:

  • Abnormal periods, including missed periods and very heavy periods (called menorrhagia)
  • Night sweats and hot flashes
  • Vaginal dryness
  • Decreased interest in sex
  • Painful intercourse
  • Urinary incontinence
  • Moodiness and depression
  • Problems focusing or concentrating
  • Dry skin and hair
  • Hair loss on the head
  • Hair growth on the face
  • Weight gain

Some women have few or somewhat mild symptoms, while others can experience symptoms that are severe enough to interfere with their regular lives and their quality of life.

I have very heavy bleeding. Can it be treated?

Yes. Very heavy bleeding that occurs in the time leading up to menopause is called menorrhagia. Women who have menorrhagia typically need to control their bleeding with multiple pads or pads and tampons, and they need to change their protection often, even during the night. Menorrhagia can be managed with hormone replacement therapy (HRT) or with endometrial ablation, a minimally invasive outpatient procedure that removes the outermost layer of the uterine lining (the endometrium) to prevent heavy periods.

How is menopause treated?

Depending on the symptoms you’re having, you might opt for treatments for single symptoms like vaginal lubricants for dryness or painful intercourse, or you might want to consider HRT using bioidentical hormones. These hormones are created with the same chemical structure as the hormones your body produces naturally, which means they’re processed in the same way. As a result, HRT with bioidentical hormones is associated with far fewer side effects compared to traditional HRT. If you opt for HRT, you’ll have regular blood tests to make sure your dosing remains optimized for your needs.