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  • Joya Women's Healthcare - Obstetrics &

Menopause Information

Updated: Sep 28, 2023

Menopause is the period in life that occurs after cessation of menses. More importantly it is loss of estrogen within the body. The change in hormones can result in multiple symptoms including: hot flashes, night sweats, insomnia, mood changes, and impaired concentration.

Urinary incontinence Issues

Over Active Bladder (OAB)

Overactive bladder is a condition in which the bladder squeezes urine out at the wrong time. It may result in a sudden strong urge to urinate immediately, the need to urinate constantly throughout the day or leakage of urine before you can get to the restroom.

Stress Urinary Incontinence (SUI)

Stress incontinence happens when physical movement or activity — such as coughing, sneezing, running or heavy lifting — puts pressure (stress) on your bladder.

Sexual issues​ / pain with sex

As women age it is not unusual for sex to become painful. This may be due to a decrease in vaginal lubrication or due to a decrease of estrogen in the vaginal tissues resulting in vaginal atrophy. Through treatment these conditions can be managed in order to create a more satisfying sexual experience

Decreased libido

Decreased interest in sex can be a normal part of aging. It can be related to hormonal changes, previous sexual experiences, or even pain associated with sex.


Influenza vaccines - also known as flu shots, are vaccines that protect against influenza. A new version of the vaccine is developed twice a year as the influenza virus rapidly changes.

Pneumococcal vaccines - are vaccines against the bacteria Streptococcus pneumoniae.[1] Their use can prevent some cases of pneumonia, meningitis, and sepsis. Pneumococcal vaccines are recommended for all people over the age of 65.

Shingles Vaccine - The shingles vaccine (Zostavax) is recommended for adults age 60 and older, whether they've already had shingles or not.

Bone density testing

The density of women’s bones tends to decrease after menopause putting women at risk for osteopenia and osteoporosis. These disorders of bone density increase the chance of major bone fractures, particularly in the hips and vertebrae. The American College of Obstetrics & Gynecology recommend baseline bone density testing via DEXA scan at the age of 65.

breast cancer screening

cervical cancer screening

colon cancer screening

Regular colon cancer screening is the key to preventing colorectal cancer. The U.S. Preventive Services Task Force (USPSTF) recommends screening for colorectal cancer using: high-sensitivity fecal occult blood testing, sigmoidoscopy, or colonoscopy beginning at age 50 years, 45 for African Americans and continuing until age 75 years.


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