Menopause Made Easy with Carolle Jean-Murat

By Carolle Jean-Murat
WebMD Live Events Transcript

Menopause information can be confusing. Is it just a transitional stage of a woman's life, or a time of increased risk of disease that needs intervention? Carolle Jean-Murat, MD will help sort through the confusion and address your needs and concerns.

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 speaker this afternoon is Dr. Carolle Jean-Murat. Today we will be discussing menopause.

Carolle Jean-Murat, MD is a board-certified obstetrician-gynecologist who has been in private practice in San Diego since 1982. She is an assistant clinical professor at the University of California, San Diego School of Medicine and the women's health expert and columnist for San Diego, San Diego's premier local site on the Internet. Dr. Carolle Jean-Murat has her own website at where she addresses women's health issues. Her most recent book, Menopause Made Easy, empowers women in midlife to make good health decisions.

Dr. Carolle, welcome to WebMD LIVE. It is really a pleasure having you here today. Would you tell us about your background and experience in women's health, please?

Dr. Carolle: I have been a gynecologist in private practice in San Diego for 18 years. I was trained in Haiti, Mexico, Jamaica, and had my postgraduate training at Mount Sinai Medical Center in Milwaukee. I have written four books (so far) which include: Menopause Made Easy, Natural Pregnancy A-Z, which just hit the book stores. I also wrote Staying Healthy: 10 Easy Steps for Women. I currently am a columnist regarding women's health issues for many web sites.

Moderator: We already have quite a number of member questions. Let's get to them.

Dr. Carolle: Okay.

Moderator: I should mention members that on Dr. Carolle's website, she says "Ask me anything," so please feel free to ask away! This question came in before the event. Is there a way to tell if you truly have started menopause? I have had numerous tests (D&C, biopsy, ultrasound) for breakthrough bleeding. Is this normal for premenopausal women? WebMD Nickname peteyjo

Dr. Carolle: Irregular bleeding is very common during pre-menopause. A woman is menopausal when she NO LONGER has menstrual bleeding for six months to a year.

I only received part of Briar-Rose ?

Moderator: She has been running a low grade fever for several months. Could this be part of perimenopause?

Dr. Carolle: A low grade fever could be a sign of a low grade infection, not a common symptom of perimenopause.

Moderator: Another emailed question: Is it normal to have extremely heavy menstrual during the beginning of menopause? WebMD Nickname Jackie47

Dr. Carolle: Menopause means the cessation of menses. Some women may experience heavy menstrual bleeding at any time during her life, including the period that precedes menopause, which is called perimenopause.

Moderator: I'm a Black 40 year old female just diagnosed as being in menopause after taking the FSH test. My doctor will be talking with me about therapy soon, but I understand that hormonal (horse urine and the like) is not safe. What are your views? Thank you. WebMD Nickname jl726

Moderator: This member has a follow up question also...

Dr. Carolle: Taking HRT (hormone replacement therapy) is a matter of personal decision, taking into consideration short-term relief of symptoms, as well as long term prevention of heart disease and osteoporosis, with the possibility of an increased risk of breast cancer. If you are having symptoms that are making your life miserable, you should consider taking HRT. If you are asymptomatic, you need to take a good look at your risk factors for heart disease and osteoporosis. If you have any risks, you can prevent either of them by maintaining a healthy lifestyle. My book, Menopause Made Easy, is a great resource for women such as yourself. In Chapter 9, I help women to assess their personal risks and how to decide if HRT is the right decision or not.

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