1. The Ins and Outs of Menopause Jennifer Lyman, MD FACOG Gynecologist, Premier Care for Women Northside Hospital Atlanta, Georgia

3. “Natural” vs “Induced” Menopause

4. Not Your Mother’s Menopause

5. Effects of Early Menopause Immediate symptoms Long term health effects

6. Hot flashes/night sweats Mood swings Lack of energy Sexual dysfunction Symptoms

7. Depression Insomnia/Sleep disturbances Vaginal dryness Cognitive changes: “brain fog” Symptoms

8. Long-term Health Issues Fertility Metabolism/weight changes Bone loss (osteoporosis) Cardiovascular disease (heart disease, high blood pressure, stroke, etc)

9. So What’s a Girl to Do?!

10. Treatment Options Lifestyle modifications “Natural” remedies Prescription medications

11. Symptom Relief: “Natural” Remedies Soy Black Cohosh (Remifemin) Valerian (Abkit) St. Johns Wort **** Kava Sage A word of warning….

12. Symptom Relief: “Natural” Remedies Vitamins (Vit. E) Minerals Other Supplements CoQ10 Omega-3/Omega-6 SAM-e

13. Symptom Relief: Over-the-Counter Hormones Topical Progesterone Wild Yam DHEA Melatonin

14. Sym ptom Relief: Non-hormonal Prescription Meds SSRIs/SNRIs Lunesta Gabapentin Lyrica Clonidine

15. Sexual Function “Use it or lose it” OTC lubricants and moisturizers Sex therapy *Vaginal/topical estrogen *Addyi

16. Sleep Issues Hypnotics Antihistamines Benzodiazepines Valerian root Melatonin

17. Fertility Oocyte preservation Donor egg/embyro Spontaneous resumption of ovarian function **BIRTH CONTROL**

18. Help is out there!!