Menopause: What Every Woman Should Know

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* Julie Spencer—an expert in women's health within the field of urology—delivers a comprehensive overview of menopause. She emphasizes the diverse and often under-recognized spectrum of symptoms, including hot flashes, sleep disturbances, mood swings, weight gain, joint pain, vaginal dryness, and painful intercourse. Many women experience delays in diagnosis and treatment, often seeing multiple providers before their symptoms are appropriately attributed to menopause.





Diane K. Newman, DNP, ANP-BC, FAAN, FAUNA, BCB-PMD, Adjunct Professor of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, introduces Julie Spencer, DNP, FNP-BC, CUNP, AFMC, Nurse Practitioner at The Urology Group and Owner of Julie Spencer Wellness LLC, Ashburn, Virginia.

In this 12-minute presentation, Julie Spencer—an expert in women's health within the field of urology—delivers a comprehensive overview of menopause. She emphasizes the diverse and often under-recognized spectrum of symptoms, including hot flashes, sleep disturbances, mood swings, weight gain, joint pain, vaginal dryness, and painful intercourse. Many women experience delays in diagnosis and treatment, often seeing multiple providers before their symptoms are appropriately attributed to menopause.


Spencer highlights the importance of debunking common misconceptions, including the idea that menopause occurs uniformly across all women or that vasomotor symptoms solely characterize it. She explains how hormonal fluctuations impact reproductive health, cardiovascular risk, metabolic function, and mental health. She also brings attention to the gut-brain relationship, discussing how estrogen decline can compromise gut integrity, contributing to systemic inflammation, insulin resistance, and exacerbation of menopausal symptoms.

Spencer addresses therapeutic strategies, advocating for an individualized approach to management. Lifestyle recommendations include prioritizing restorative sleep, resistance training, increased protein intake, and anti-inflammatory nutrition. She outlines hormonal and non-hormonal treatment options, such as bioidentical hormone therapy, FDA-approved medications for vasomotor symptoms, vaginal estrogen, and supportive supplements. She stresses the safety and efficacy of vaginal estrogen for genitourinary syndrome of menopause, a commonly overlooked but impactful condition encountered frequently in urology.

The presentation concludes with Spencer encouraging clinicians to educate and empower patients, reframing menopause as a stage of potential and transformation. A brief conversation between Julie Spencer and Diane Newman follows the presentation.
 
 

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