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Can intense external vaginal itching be a result of menopause?

It can, but you need to have it evaluated.

Are menopause and farting related?

Menopause and flatulence are not related, but if you lose stool with flatulence, you need to see your doctor.

I’m having periods, but I’m experiencing several menopause symptoms. Can I be peri-menopausal?

Yes, peri-menopause can start in the 40’s.

 I’m 50 and I’ve only had one period in the past 10 years. My doctor said I’m not going through menopause yet, but I’m bloated all the time. 

Changes in hormones can cause bloating. But the more concerning part is only one period in the last ten years.  You need an endometrial biopsy. Please see your GYN ASAP!

I’m a 53 -year-old female. Menopause is making me sweaty and fogging my brain fogs. Can I fix it naturally?

Try black cohosh and ginseng as natural supplements first, but also consider hormone therapy.

Is it normal for a woman that is in pre-menopause to lose all sexual desire? I’m 45 years old, just diagnosed and have no interest in anything sexual. Please advise.

This can be caused by decrease in estrogen, depression or stress please address all of these with your GYN! There are many therapies to help you.

Doctor, what about the unexpected weight gain during menopause?? Can anything be done?

A decrease in estrogen contributes to that unfortunately, so it is important to consider eating habits and adding an exercise regimen to your daily life. It makes you feel better and you will see results.

I’m a recent cancer survivor who is taking shots to speed up menopause. Will a hysterectomy decrease symptoms of menopause as well as stop the shots?

No, it won’t, only removal of your ovaries will. A hysterectomy is just the removal of your uterus.

Hysterectomy, Surgery and Other Issues: 

I had hernia surgery three years ago. In August, I started feeling pain again from time to time. Is this normal? I am a UPS driver.  Could it be a recurrence of hernia?

See your surgeon again since you still lift heavy objects.

I’ve been bleeding for 4 weeks nonstop. I don’t want hysterectomy. What are my options?

Hormones, uterine artery embolization, endometrial ablation.

I am scheduled for a hysterectomy this Friday after a long and painful battle with fibroids. Are you in favor of a full hysterectomy where they take everything or leaving in one ovary and why?

If you are pre-menopausal leave BOTH ovaries, unless it looks suspicious.

Doctor, are there natural treatments you can recommend to help with PCOS or hormonal imbalance? I’m 30, no kids.

Decrease high glycemic foods in your diet, white breads, flour etc. and lose weight to help to reverse insulin resistance.

What are the dangers or side effects of an endometrial biopsy?

The risks for any procedure are infection, bleeding, or possibly perforating the uterine muscle. But the risks are very small. The most important part of a biopsy is that it can rule out CANCER.

I have pain in my lower right abodemen/pelvis. What could it be?

Fibroids, appendix, ovary, endometriosis.

In September, I had a total hysterectomy. I’m healing slowly but my white blood cells are low and I’m losing weight fast. I don’t have HIV or AIDS. What do you think?

Rule out leukemia, sarcoidosis.

Good morning, Doctor. I have anemia and have been taking a prescribed dose of 1000 mg of iron daily for five months now. My last menstrual cycle was much heavier than usual…should I be concerned?

Yes, you need hormonal therapy, Lysteda or surgery. Talk to your GYN about all your options. There are plenty.

If I take hormones, will the hair stop growing on my chin? 

Take birth control pills, or try electrolysis or other medications.

If a woman has a low T cell count does that mean she has AIDS?

When the T cell count drops below 200, due to advanced HIV disease, a person is diagnosed with AIDS.

From The Fellas: 

Can uncircumcised men contribute to cervical cancer?

Yes, as there is an increased risk of HPV spread which is the leading cause of cervical cancer.

What can you do when you get a charley horse during/ after sex/ orgasm?

Stretch your leg and massage it.

Doc. I’ve heard that it’s not good to go down on a woman too much because you may get mouth cancer. Is that true?

HPV, the virus that can cause cancer, can be transmitted via mouth, penis or vagina so either way it can be transmitted. Practice safe sex and consider dental dams

I have a swollen testicle and a little pain. What could be the problem?

This can be from a varicocele which is an inflamed vein or also an infection. Please go to your doctor to have it evaluated for any infections or structural issues.

I am a 49 year old man with a wife who’s pre-menopausal and suffering from vaginal dryness. How can a man cope?

Use LOTS of lubricant! It helps. Also foreplay is important!

My wife had endometriosis for years until I forced her to go to a doctor. She hadn’t been for almost 3 years. She never wanted to have sex. Now, even after surgery, her brain is still telling her it’s gonna hurt and she is not sexually aroused like she used to be. I haven’t lost any inches, so it’s not me.

So what do I do? I light candles, I cook special dinners, have tea ready for her to relax to after work to make sure I am covering the romantic side and all.  What do I do, I want my wife back, I love her. 

So sorry to hear! I highly recommend counseling for sex therapy. Both individual and couples. You’d be surprised at how much it can help. Also have her go to pelvic physical therapist.

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Get Well Wednesday: Dr. Jessica Shepherd Answers Your Most Embarrassing Questions  was originally published on

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