Taking Charge of Menopause with Lynne Steinman, M.D. and Robert Dosh, M.D.

WebMD Live Events Transcript

The co-authors of The Taking Charge of Menopause Workbook, Dr Lynne Steinman and Dr Robert Dosh will be joined by Dr Ceceila Hann for a discussion about menopause.

The opinions expressed herein are the guests' alone and have not been reviewed by a WebMD physician. If you have questions about your health, you should consult your personal physician. This event is meant for informational purposes only.

Moderator: Welcome to the Women's Health Place on WebMD Live. Our guest speakers joining us this evening are Lynne Steinman, PhD, and Robert Dosh, Ph.D., co-authors of The Taking Charge of Menopause Workbook, and obstetrician/gynecologist Cecelia Hann, MD.

Lynne A Steinman, Ph.D., is a licensed clinical psychologist in private practice, specializing in stress management and anxiety, mood disorders, chronic illness and fibromyalgia, women's issues (including menopause ), dementia, and caregiving. She is on the board of directors of Psychological Success Associates, Inc.

Robert M. Dosh, Ph.D., is licensed both as a psychologist and a marriage, family, and child counselor. He is in private practice specializing in the assessment and treatment of attention deficit hyperactive disorder in adults and children and Tourette's syndrome disorder. Dr. Dosh is on the board of directors of Psychological Success Associates, Inc., based in Santa Clarita, California.

Cecelia M. Hann, MD, is a board-certified, licensed obstetrician/gynecologist and member of the executive committee at the Henry Mayo Newhall Memorial Hospital in Santa Clarita, California.

Dr. Steinman and Dr. Dosh, could you begin by giving our members some background...what prompted you to write the Taking Charge of Menopause Workbook?

Dr. Steinman: We realized that the baby boomer generation has redefined every biological, social , and psychological transition they've encountered, from sexuality to career to childrearing. Traditionally, we knew that menopause was associated with many negative expectations and perceptions. We also knew that as the baby boomers approached menopause, they would want to become empowered so they could play an active role in taking charge of this transition. As a result, we developed the idea of a workbook that would give them the info they needed to make informed decisions throughout the process.

Moderator: Short Term Effects: One of the short-term effects of Menopause is heavy bleeding. Do you have any suggestions for things that can lesson this effect?

Dr. Hann: The heavy bleeding can be caused by various reasons. Finding the reason is probably more important in treatment. If it's a physical problem, like having a fibroid tumor, it generally does not respond to hormonal therapies. However, if it is caused by a hormonal imbalance, progesterone therapies work really well. Medications such as Naprosyn, in high doses, may work well to curb the bleeding. Watching for anemia is really important in this age group. As always, check any suggestions with your doctor before pursuing them.

Moderator: Are there any factors that can help one manage hot flashes?

Dr. Hann: There are herbal remedies, such as soy and black cohosh. Taken regularly, these may help with hot flashes. Getting rid of caffeine, alcohol also helps. Low dose estrogen also works really well. The emphasis is on "low."

Moderator: What are hot flashes?

Dr. Hann: Hot flashes are the warm feelings that come over your body when estrogen levels drop. It's noted around menopause, and can be induced by stress. It's hard to miss it when you have one!

plath11976_WebMD: Are there any herbal remedies that have same the effect as estrogen?

Dr. Hann: If you mean "natural" estrogens, derived from plants, the answer is "yes." There are estrogen products from soy plants, as well as Mexican yams. These products are widely available in non-pharmaceutical grades at health food stores.

LadyByrd_WebMD: If you have heavy bleeding with clots, could this possibly mean menopause is not far off?

Dr. Hann: Heavy bleeding with clots is really not related to menopause, itself. With menopause, bleeding actually tapers off. Periods become fewer, in amount and duration. Anything outside of that requires evaluation to determine the cause.




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