Meet Dr. Samuels

Urogynecologist, Female Pelvic Medicine & Reconstructive Surgeon

Menopause and Peri-menopause

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For women the women menopause is a natural part of aging and is defined as 1 year without periods.  On average this happens at about age 50. It is considered early age 40-45 and premature before age 40.

The perimenopause indicate the most highly symptomatic years which can be up to 10 years for some women! The most obvious symptom include  irregular periods – longer, shorter, more or less frequent. But it is important to recognize the other symptoms of menopause/perimenopause:


  • Fatigue/ lack of energy
  • Difficulty sleeping
  • Reduced mental focus, memory and Brain fog
  • Mood swings, anxiety and depression (or exacerbation)
  • Hot flashes and night sweats
  • Stubborn weight gain
  • Inability to lose weight, despite diet and activity
  • Decreased muscle strength
  • Joint pain and muscle pain
  • Reduced Sexual desire
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