Progesterone Side Effects: What to Do When You're the Exception
Progesterone is an essential part of hormone replacement therapy for many women with a uterus. While most women tolerate it well—and some even sleep better because of it—a small percentage experience unexpected side effects like increased anxiety, mood changes, or feeling "not like themselves." If that's you, you're not imagining it.
1 hour ago
MidLife Changes
Twenty-four years ago, I graduated from medical school. Since then, I've had the privilege of experiencing medicine from many different perspectives: community-based research, teaching medical students and residents, working in a group practice, and owning a direct primary care practice. About five years ago, I found myself at a crossroads. Between the pandemic, burnout, and the growing divide around science and healthcare, I realized I needed to step back and reconnect with
7 days ago
Let's Talk About Sex (Again): Genitourinary Syndrome of Menopause
oday, we're tackling another common—but surprisingly under-discussed—cause of painful sex: Genitourinary Syndrome of Menopause (GSM).
GSM is a collection of symptoms caused by falling estrogen levels that affect the vagina, vulva, labia, clitoris, bladder, and urethra.
Jul 6
Midlife Musings of a Family Doctor: Why I am Better at Making Mistakes
For women who have spent decades trying to be the perfect mother, physician, partner, daughter, or friend, it can feel like we're suddenly failing at things that once came easily.
But maybe we're looking at it all wrong.
Maybe this stage of life isn't teaching us how to avoid mistakes.
Maybe it's teaching us how to make peace with them.
Jun 29
Keep Calm and Strengthen Your Core: Understanding Pelvic Floor Dysfunction
The pelvic floor is a group of 14 muscles located at the bottom of your pelvis. These muscles support your bladder, rectum, and reproductive organs.
Imagine a hammock or sling stretching across the bottom of your pelvis. That supportive hammock is your pelvic floor.
When it's functioning well, you probably don't think about it.
When it's not, you'll know.
Jun 22
