Entries by Jesse Eisenheim

Your Peri-menopausal exercise prescription

Here’s your peri-menopausal exercise prescription!  Please keep in mind that these are general guidelines and of course your body has its unique features and history, which may make these recommendations too easy or conversely, not realistic. I think that we are in a “Lack of Mobility Crisis.” Loss of mobility leads to decreased agility, further […]

You Can Never Have Too Much Lube

While it is possible to self lubricate when aroused, it typically takes a woman’s tissues roughly 20 minutes to be physiologically ready for penetrative intercourse. While foreplay is certainly an excellent way to stimulate our body’s natural ability to lubricate, we don’t always have 20 minutes, or some women may be going through additional hormone […]

What women hear

The common narrative: “It’s just part of aging”“Have you tried losing weight?” ”It’s all in your head”“You’re too young for menopause” ”Just deal with it”“Try yoga and mediation”“Your labs are normal” What Women Need to Hear “ I believe you””Your symptoms are real”“ Let’s find solutions together”“I’m here to help”“ You deserve real quality care”“Let’s explore […]

Weight Gain, Muscle Loss & Mortality in Midlife

Let’s talk about the mid-life weight gain associated with peri-menopause, and I’m going to come right out and say it. I do believe  that there has been a cultural gaslighting of women’s complaints, especially the weight gain, characterizing the complaint as not-important or strictly a vanity issue. And the fatigue ….psychosomatic! Let’s face it, medicine […]

Vaginal Health tips

The gut and the vagina share some of the same bacterial organisms, called the estrobolome. Only 9% of the gut microbiome is also present  in the female reproductive tract (estrobolome). When estrogen levels get lower,  the estrobolome may become less robust, which can contribute to vaginal health issues. In order for the vagina to be […]

Testosterone and DHEA – let’s talk about Androgens

In previous blogs, I’ve written lots about estrogen and progesterone, but let us not forget about the powerfully potent androgens, namely DHEA and Testosterone. DHEA: Think of DHEA as an energy and hormonal savings account, made and stored in your adrenal glands.  You can draw on this hormone anytime during your life (especially in times […]

Supporting Estrogen Detox and Restoring the Estrobolome

Do you know that you can help to restore estrogen balance by focusing on gut health? Most of us are familiar with the gut-brain connection, but there is also gut-hormone connection When a woman goes through menopause, their gut microbiome starts to look more like a man’s. There is less diversity because there is less […]

Sleep and Depression

Most of the info in this blog post was learned from the World J Psychiatry. 2024 Oct 19;14(10):1605–1610. It explains the hormonal change mechanisms that provoke sleep and disturbances encountered in the perimenopausal years. According to studies, 40%-69% of women across the menopause transition report sleep disturbances, particularly nocturnal awakenings and increased awake time after […]

Musculoskeletal Syndrome of Menopause

We all know about how hormonal shifts cause hot flashes and mood swings etc, but your hormones are also closely related to your muscle strength, bone density, and even how your joints move and flow. Do you feel like your once-strong body is now weak, stiff, or unrecognizable? Do you get up from sitting, and […]