Hormones in Harmony

Hormones in Harmony For over 30 years, my passion has been in caring for Women. I specialize in hormone management.

I am proud to be a Certified Provider by "NAMS" North American Menopause Society, and Certified by the Bio-Identical Hormone Training Academy.

BENEFITS OF OXYTOCIN:Oxytocin is both a hormone and a neurotransmitter. Hormones travel through the blood stream and act...
09/23/2024

BENEFITS OF OXYTOCIN:
Oxytocin is both a hormone and a neurotransmitter. Hormones travel through the blood stream and act on electrical signals in your brain and nerves called neurotransmitters
acting with parts of the brain and nerve cells.
Oxytocin —is one of the most important hormones that humans (and many other mammals) produce.
It plays an important role in:
• social bonding
• building relationships
• reproduction
• childbirth
• breastfeeding
• raising children

Here’s something that may come as a surprise: According to the American Psychological Association,
Oxytocin is released in response to both positive social connection and stressful conditions.
Levels have been found to be higher when someone is under stress, such as when exposed to social
isolation or when in an unhappy relationship. It’s thought that increased levels may help motivate people to reach out for help.
On the other hand, situations that make us feel safe, happy and connected tend to cause the release of
several “feel-good hormones,” including oxytocin, dopamine and serotonin.

What Is Oxytocin?
Oxytocin is a hormone (technically a peptide or neuropeptide) that is involved in bonding. As a neuropeptide, it’s a “chemical messenger” that acts on organs, including the brain.
What does oxytocin do, and where is it produced?
Oxytocin is produced in the hypothalamus region in the brain, often called the “control center” of the
brain. It’s also thought to be influenced by activation of the amygdala, which is the region of the brain
mostly associated with fear and memories.

Once the hypothalamus sends signals for oxytocin to be produced, it’s either released into the
bloodstream or to other parts of the brain and spinal cord. It binds to oxytocin receptors, influencing
how we feel and behave toward others.

Oxytocin influences the autonomic nervous system and the immune system. This includes having an
effect on the “hypothalamic-pituitary-adrenal axis” (also called the HPA axis), which dictates release of
many hormones.

This peptide hormone has been said to have “broad implications” for general health, including
facilitating adaption to stressors, development, growth, healing, reproduction and social behavior. It
also seems to have anti-inflammatory and even antioxidant effects, since it defends the body against
trauma, illness and stress-induced damage.
Additionally, it helps keep blood pressure levels in the normal range and also balances cortisol levels,
a primary “stress hormone.”

We usually think of it as a feminine hormone, but do men produce oxytocin too?
Yes — while it was originally considered a hormone that was only found in women due to its tie to labor,
lactation and raising children, it’s now known to be present and important in both men and women
(although women are still thought to produce more).
For example, oxytocin helps with male reproduction — as well as female reproduction — by supporting
production of testosterone in the te**es and motility of s***m. Additionally, it affects both s*xes’
metabolisms, moods, immune systems and more.

Oxytocin also has similarities to endorphins (op**te chemicals) because we produce more in order to
soothe ourselves in response to sources of pain and stress.
How does oxytocin make you feel? Here’s a basic overview of the emotional effects of oxytocin:
• Research tells us that oxytocin’s effects are basically the opposite of those linked to our “fight or
flight” response. Higher levels are linked to feeling calmer and having a better capacity to deal
with stress.
• New research suggests that increased oxytocin can potentially also increase feelings of
generosity, forgiveness, trustworthiness, joy and security.
• It seems to help increase fidelity and monogamy in relationships by keeping us honest and
facilitating compassion/empathy toward others — plus it increases feelings of protectiveness.
Boosts Our Ability to Cope with Stress
While it also works under times of low stress, oxytocin has been shown to be elevated under times of
high stress, too.
Some studies have found that people who report having poor social relationships usually have higher
circulating levels of both oxytocin and the stress hormone cortisol than those reporting better
relationships.
Externally administering the hormone via supplements has been shown to help mitigate stress
reactions, acting as a type of natural buffer. It can make people who are stressed seek out support
through better social connections.
It may also help protect the nervous system from shutting down in the face of stressful circumstances,
including childbirth.

Some animal studies show that treatment with oxytocin causes stressed animals to no longer display
signs of depression, anxiety or cardiac stress. By increasing someone’s motivation to find
help from others, the hormone can help people find opportunities and engage in behaviors that lead to
more security, joy and love.

It also slows or dimishes typical Anti-Aging and Anti-Obesity Effects
In one study, it was shown that higher oxytocin release is linked with protection against accelerated
signs of aging and better regeneration of aged tissue stem cells, including muscle cells.

Oxytocin injections may be used in the future to help injuries heal better, improve bone health and
possibly prevent obesity.
For example, some animal studies have found that oxytocin administration leads to sustained weight
reduction by reducing food intake, which is believed to happen because it dampens the brain’s food-
related reward circuitry.
Additionally, it seems to reduce muscle and joint pain due to pain-dulling and anti-inflammatory effects.
Higher circulating levels are also thought to be positively associated with lean mass and bone mineral
density.
How to Increase It
Both higher- and lower-than-normal levels of oxytocin can cause health problems and changes in
behavior among women and men, according to endocrinologists. Here are some examples of how:
• Low levels (what some might call “oxytocin deficiency”) among women can interfere with child
labor and breastfeeding.
• Low levels among both s*xes have been linked to depression and anxiety, although it still isn’t
totally clear how administering oxytocin supplements can help treat these and other mental
health conditions.
• It’s also believed that low levels may be tied to autism and autistic spectrum disorders.
Here are ways that you can naturally boost your production in order to promote feelings of well-being
and connectedness:

• Physical contact — Hugs, massages, being intimate, shaking hands and breastfeeding all cause
the release of oxytocin. Physical contact can increase levels whether it’s between lovers, friends,
or children and their parents.
• Essential oils — Research shows that certain essential oils, including clary sage oil, may help
balance hormones and encourage production of “the love hormone.”
• Making eye contact
• Laughing
• Giving and receiving gifts (including money)
• Altruistic behaviors, such as cooking for others and sharing meals together
• Petting a dog, cat or other pet
• Doing “loving kindness” meditations or visualization
• Telling someone you love him or her
• Listening to calming music
• Speaking to someone you trust on the phone
• Walking or exercising with someone
• Looking at photos or videos of people you care about — including via social media

What vitamins boost oxytocin levels
There are several nutrients you can add to your food intake which may prompt the release of more of
your cuddle hormone. Here are three to you get started:
• Vitamin D. The sunshine vitamin may make you more prone to a "sunny" disposition because it
supports oxytocin synthesis and may even stimulate their production. A vitamin D supplement
can help keep your levels in top shape.
• Magnesium. According to researchers, the presence of magnesium can help "sensitize" oxytocin
receptors in the brain. So making sure you have healthy levels of this mineral is a good idea. We
recommend magnesium L-threonate, a form that is readily absorbed by the brain.
• Vitamin C. Vitamin C plays a role in the function of an enzyme involved in oxytocin production,
so it is also a good supplement for its support. Some forms of vitamin C, such as liposomal
vitamin C, provide around-the-clock delivery so you'll always have this antioxidant in your
system.

Supplements, Oxytocin
What happens if you take oxytocin in supplement or spray form? Although more research is still needed
to confirm how oxytocin that administering this hormone may help people dealing with social and emotional
problems.
Conditions that oxytocin may be able to help or reduce symptoms significanltly include:
• autism or asperger’s disorder
• social anxiety
: anxiety
• schizophrenia
• depression
• decreased libido
improved intimacy symptoms, both Men and Women

Does food have oxytocin?
This hormone is not found in foods, but it does play a role in regulating appetite. Eating aphrodisiac
foods — such as chocolate, coffee, fish, avocado and some herbs — may also improve your mood and
desire for connection, leading to higher release.

Conclusion
• Oxytocin is a hormone that acts as a chemical messenger in the brain and other organs.
• Why is oxytocin called the love hormone? It plays an important role in bonding, generosity,
trust, loyalty and s*xual arousal.
• Not only do women produce this hormone to facilitate bonding, birth and breastfeeding, but it
is produced by men too. It helps with s***m quality and reproduction in both s*xes.
• How does it make you feel? It has calming properties and builds resilience against stress. It can
also help support fidelity and monogamy, empathy, and connection with an infant.
• Oxytocin supplements are still being researched for their potential benefits in helping people
with depression, anxiety, autism disorders and other mental health concerns.

• Here’s how to increase oxytocin naturally: Make physical contact with others, share and receive
gifts, get a massage, have meaningful conversations, be intimate, and basically do anything
enjoyable that involves socializing, sharing and touch.

Does chocolate increase oxytocin?
What doesn't chocolate do? The good news is that chocolate helps increase feel-good hormones,
including serotonin and dopamine, and yes, oxytocin. So, the science is squarely behind the idea that a
square of chocolate does your mind (and body) good! Chocolate also contains magnesium, which is
good for your oxytocin receptors. Enjoy responsibly!

Oxytocin and S*x
Oxytocin is responsible for s*xual arousal and or**sm. Ni**le stimulation can cause a surge of oxytocin,
which leads to lubrication and arousal in those with a va**na.
In those with a p***s, oxytocin causes er****on, increases s***m count, and moves s***m via ej*******on.
Men have high levels of oxytocin during or**sm. Nasal oxytocin medicine raises the perception of
arousal during ma********on.
Role of Oxytocin in Hormone Balance
Oxytocin plays an essential role in hormone balance because it acts as a neurotransmitter that helps
regulate other hormones like:
• Cortisol (the stress hormone)
• Estrogen (responsible for s*xual development)
• Testosterone (responsible for s*xual desire)
• Dopamine (the happiness hormone)
• Melatonin (the sleep/wake cycle regulator)
• Serotonin (the mood regulator)
• Endorphins (natural painkillers)
• Adrenaline (the fight-or-flight response).
Essentially, oxytocin helps keep all these hormones in harmony by regulating their production while also
aiding in vital functions connected to our longevity and health.
The Role of Oxytocin in Skeletal Muscle Aging
Research suggests that oxytocin is essential for muscle maintenance and regeneration — two processes
necessary for keeping your skeletal muscles healthy as you age. Low levels can lead to weakened
muscles and decreased mobility over time. That’s why it’s important to keep your levels of this vital
hormone balanced to stay fit and active throughout your golden years.
Oxytocin as a Potential Treatment for Mental Disorders
Recent studies have shown promise when exploring oxytocin as a potential therapeutic target for
mental health disorders such as depression, anxiety, and even schizophrenia. This is promising news, as
these disorders can be debilitating in nature and can significantly reduce your quality of life. While
further research is needed to understand the exact role, oxytocin plays in mental health regulation,
studies have indicated that it can play a part in modulating stress response, reducing fearfulness and
improving social cognition.
Oxytocin’s Role in Addiction Treatment
Oxytocin also has potential therapeutic applications when it comes to addiction treatment. In fact,
researchers are currently investigating the role of oxytocin in helping individuals overcome addiction
cravings by reducing addictive behaviors through restoring abnormal drug-induced changes in the
glutamatergic system and in its interactions with other neurotransmitters. However, the potential of
oxytocin in this area is still under investigation. Therefore, more research must be conducted before any
definitive conclusions can be made about its effectiveness as an addiction treatment option.
Does Oxytocin Decrease as We Age?
The decrease of oxytocin in relation to age generally correlates to our lifestyle, habits, and general
behaviors. However, some research shows that oxytocin levels actually increase in many older adults.
This is because, as we age, many of us spend more time volunteering, donating portions of our income
and doing activities we enjoy with people we care about. Engaging in these activities gives us a sense of
purpose and can keep our oxytocin levels balanced.
However, some see a marked decrease in oxytocin as they age due to factors such as stress, anxiety, and
depression. In addition, increased social isolation, which plagues many of our older generations, can
decrease oxytocin levels due to a lack of social interaction and physical touch. Therefore, it is crucial to
be mindful of our lifestyle, stress levels, and relationships in order to maintain balanced oxytocin levels
as we age.
How Can We Increase Oxytocin?
Foods, Nutrients, and Supplements
The simple act of eating food can stimulate the release of oxytocin. Eating foods rich in complex
carbohydrates, omega-3 fatty acids, vitamin B6, and zinc can help to raise your levels of this hormone.
Additionally, there are specific vitamins and nutrients that you can target through your meals and
supplements to ensure your oxytocin levels remain topped up.
Vitamin D
Commonly referred to as the “sunshine vitamin,” vitamin D is essential for a healthy body and mind. Not
only is it important for strong bones and teeth, but it also plays a vital role in regulating mood and
emotion. Research has found that vitamin D directly activates and controls oxytocin production in our
bodies. Additionally, vitamin D is essential for the proper functioning of the immune system and
reducing inflammation throughout the body.
You can get vitamin D from spending time outdoors in direct sunlight or through certain foods like
fortified dairy products or fatty fish such as salmon or mackerel. It’s also available as a supplement if you
feel you may be deficient in vitamin D.
Vitamin C
Another important nutrient when it comes to increasing oxytocin levels is vitamin C. The synthesis of
oxytocin partially depends upon vitamin C, which helps stimulate the secretion of oxytocin from the
pituitary gland into your bloodstream. Not only does it play an important role in increasing oxytocin
levels, but it also helps boost immune function by fighting off infection-causing bacteria and viruses in
our bodies.
You can get vitamin C from foods like oranges, lemons, limes, kiwi fruit, grapefruit, or bell peppers, as
well as from supplements if needed.
Magnesium (Glycinate)
Magnesium is another mineral that plays an important role in maintaining optimal oxytocin levels. It
helps with the proper functioning of your nervous system, including optimal neurotransmitter activity —
the communication pathways between your brain cells. Studies have shown that magnesium increases
the action of oxytocin at its receptor sites within your body, leading to increased feelings of connection
with others around you. Additionally, magnesium is an essential electrolyte that helps with muscle and
nerve function, healthy blood pressure levels, and sleep/wake cycles.
You can get magnesium through natural sources such as whole grains like quinoa or oats, nuts like
almonds or cashews, and supplements if needed.
Hormone Replacement Therapy
Hormone replacement therapy, or HRT, is a form of medical treatment that involves the replacement of
hormones naturally produced by the body with either synthetically manufactured hormones or plant-
derived bioidentical hormones. This type of therapy is often used to treat conditions caused by an
imbalance of hormones in the body. The primary purpose of hormone replacement therapy is to
alleviate and treat symptoms of hormone-related conditions such as menopause and hypogonadism.

When looking for a Well Trained Provider whose focus is taking on in HRT for Primenopause or Menopause Look for a Certified Menopasue Hormone expert to help guide you way!

Warmly,
Susan Corbett APRN, CNM, MSCP
13547 N 199th Dr suite #32
Surprise, AZ 85379
602-777-3525

By 2025 there will be 1 billion menopausal women in the world. Approximately 25 million women in the United States, with...
09/05/2024

By 2025 there will be 1 billion menopausal women in the world. Approximately 25 million women in the United States, with many more expected to enter this phase soon, yet there is a significant lack of awareness about it among women, as revealed by a survey conducted by the North American Menopause Society (NAMS). Symptoms of perimenopause are often misunderstood or attributed to other factors, leading to delays in seeking medical care and support. These symptoms, such as hot flashes and mood swings, can profoundly impact women’s quality of life and workplace performance. Healthcare disparities in access to information about perimenopause and treatment exist, particularly among underserved communities, highlighting the need for education initiatives to ensure all women receive accurate support during this transitional phase.

What is Perimenopause?
Perimenopause refers to the transitional phase leading up to menopause, marking the gradual decline of reproductive hormones in a woman’s body. Surprisingly a woman can begin experiencing perimenopausal symptoms as early as her mid 30’s. and ends when her menstrual cycle ceases.

Common symptoms expressed by the perimenopausal woman include brain fog, anxiety, irregular me**es, fluctuating hormone levels, and various symptoms such as hot flashes, night sweats, mood swings, and changes in libido. Perimenopause can be a challenging time for many women as they navigate the physical, mental, and emotional changes associated with the end of their reproductive years.

How menopause occurs
For most women, menopause is marked by the end of monthly menstruation (also known as a menstrual period or ‘period’) due to loss of ovarian follicular function. This means that the ovaries stop releasing eggs for fertilization.

The regularity and length of the menstrual cycle varies across a woman’s reproductive life span, but the age at which natural menopause occurs is generally between 45 and 55 years for women worldwide.

Natural menopause is deemed to have occurred after 12 consecutive months without menstruation for which there is no other obvious physiological or pathological cause and in the absence of clinical intervention.

Menopause can also be induced because of surgical procedures that involve removal of both ovaries or medical interventions that cause cessation of ovarian function (for example radiation therapy or chemotherapy).

Changes associated with menopause
The hormonal changes associated with menopause can affect physical, emotional, mental, and social well-being. The symptoms experienced during and following the menopausal transition vary substantially from person to person. About a third of women don't have any symptoms. About half experience significant symptoms and another third have severe symptoms,
Some can experience symptoms for several years.

As the ovaries stop working, levels of estrogen fall, causing the symptoms of menopause. Symptoms can vary greatly for women.

• Hot flashes: Also called hot flushes, about 75 percent of all women experience brief, sudden increases in body temperature. Heart palpitations or dizziness may accompany the feeling of being hot. If experienced at night, it’s called a “night sweat.” Hot flashes and night sweats typically last one to two years. It's a rise in temperature, usually from the chest up. There is a surge in adrenaline, too, that can cause anxiety.
• Vaginal dryness: The tissues of the va**na and urethra may become thin and dry. This can lead to pain during in*******se and in some cases, more serious problems such as vaginitis (an inflammation of the va**na that can cause discharge, itching and pain) and cystitis (urinary tract infection).
• Hair changes: Some women may find increased facial hair and scalp hair may become thin.
• Fatigue: Hormonal imbalances during menopause may cause women to feel tired or sluggish.
• Skin dryness: As estrogen levels decrease, fewer of the skin’s natural collagens and oils are stimulated. This can result in dry, itchy skin.
• Insomnia: During menopause a woman’s hormones are in flux, including a hormone called progesterone, which is known to help regulate sleep patterns.
• Urinary weakness
• Pelvic floor weakens, which causes the urge to urinate more frequently or urinary leakage
• Mood changes
• Increase in irritability, anxiety and/or depression

Treatments for Menopause Symptoms
Menopausal hormone therapy (MHT), also known as postmenopausal hormone therapy and hormone replacement therapy, is the most effective treatment for menopause. As the name suggests, MHT replaces the hormones — estrogen and, sometimes, progesterone

Having lower levels of estrogen is the root cause of tell-tale menopause symptoms, such as hot flashes, va**nal dryness, and mood changes, and low estrogen levels are also associated with a higher risk of osteoporosis and heart disease. "Hormone therapy started early in menopause can reduce the risk of cardiovascular disease, which is the number one killer of women. Both physicians and patients are realizing now that hormones are vital to health and well-being.”

Low-Dose Antidepressants
Hot flashes, also called vasomotor symptoms, are the symptom most women going through menopause seek treatment for, according to Cedars-Sinai.

Currently, the U.S. Food and Drug Administration (FDA) has approved using paroxetine, an SSRI antidepressant, for the treatment of hot flashes. This antidepressant is the only non-hormonal treatment that's FDA-approved to treat hot flashes.

If you're using antidepressants to help relieve hot flashes, you generally won't take a dosage as high as someone taking antidepressants to manage depression. The recommended paroxetine dosage for hot flashes is 7.5 mg once daily at bedtime, while people taking the SSRI for depression will usually start at 20 milligrams per day, according to the Mayo Clinic. Side effects are dose-dependent, so if you're taking paroxetine for hot flashes, you're less likely to experience side effects from it than if you were taking it for depression.

Other medications: gabapentin, Clonidine, pregabalin

Optimizing Your Diet
Drugs aren't your only course of action to treat persistent menopause symptoms. Changing your diet and prioritizing certain nutrients has been shown to help manage symptoms, too. For example, including foods rich in phytoestrogens (or plant estrogens) has been shown to help reduce hot flashes as well as improve sleep, cognition, and bone health,

Getting more calcium and vitamin D can also help stave off bone loss. The NIH recommends getting at least 1,200 mg of calcium and 800 to 1,000 IUs of vitamin D every day. Calcium-rich foods include dairy products such as milk, cheese, and yogurt, as well as calcium-fortified foods such as cereals. There aren't many foods rich in vitamin D, so you're best off taking a quality D3 supplement.

Exercising More
While hitting the gym or a HIIT class may not do wonders for banishing night sweats, exercising more can help stave off the long-term effects of menopause.

For example, exercising has been shown to improve postmenopausal women's triglyceride levels and lower their body fat, which are two risk factors of cardiovascular disease (and remember, cardiovascular disease risk increases once we hit menopause),

What's more, research shows that exercising regularly — specifically, strength or resistance training — can help improve bone density and stave off osteoporosis, another condition women are more likely to experience during and after menopause.

What Exactly is a Bio-identiacal Hormone
The term “bioidentical” means that a hormone is chemically and structurally identical to the hormone that the body naturally produces. Bioidentical hormone therapy used to treat menopausal symptoms typically contains estradiol which is, in fact, identical to the estradiol used in traditional hormone therapy. Thus, the term bioidentical hormone therapy can be confusing; there are bioidentical hormones approved by the FDA, but there are also compounded bioidentical hormone therapies.

FDA-approved bioidentical hormones include estradiol, estrone, and micronized progesterone, which are regulated and monitored for purity and efficacy according to FDA guidelines.

Mindfulness and meditation
These practices can help improve thinking and mood. Mindfulness meditation can help you focus on the present moment, which may help reduce how much hot flashes bother you.

Yoga
Yoga may be as effective as other types of exercise for relieving menopause symptoms.

Acupuncture
Some studies suggest that acupuncture may help reduce the frequency and severity of hot flashes, but results are conflicting.

Hypnosis
Research suggests that hypnosis may help reduce the frequency and severity of hot flashes.

Red clover
A review of 11 studies found that red clover was more effective at alleviating hot flashes than a placebo.

Soy
Many studies indicate that soy can reduce hot flashes. You can ask your provider if a soy supplement might be right for you.

Protein-rich foods
Eating protein throughout the day can help prevent the loss of lean muscle mass that occurs with age.

Handheld fans and "chillows"
These products can help reduce body temperature for women who experience hot flashes.

Cognitive behavior therapy, Reflexology, Homeopathy

Supporting someone through menopause
Menopause can be associated with many physical and emotional changes for women, and this can make it a challenging and complicated time.

If you know someone who might be going through menopause or perimenopause, it’s useful for you to find out more about how you can support them. A great place to start is

The Menopause Society: https://menopause.org/

Susan Corbett APRN, CNM, MSCP

Menopause and Intimacy All women experience menopause differently, and many women experience changes in their s*x life d...
08/26/2024

Menopause and Intimacy

All women experience menopause differently, and many women experience changes in their s*x life during this time. You may have heard about menopause impacting a women’s ‘libido’ or s*xual desire.
Some women may enjoy s*x more because they no longer worry about what other people think and feel a sense of freedom as they age, or there is no longer a concern or need for birth control. While others may find they no longer feel s*xual desire or no longer want to have s*x and that can be really upsetting. What causes a woman to change the way she once did about s*x?
Well hormones play a big role in a woman’s life and for many menopause (often described as not having had a menstrual cycle in 12 months or more) may be the most difficult time. Estrogen levels fall dramatically as a woman approaches and passes menopause; this can result in a wide array of symptoms. But most concerning are those women who suffer from Genitourinary syndrome of menopause (GSM). A newer more inclusive term that describes various menopausal symptoms and signs such as these listed here.

Genitourinary Syndrome of Menopause
Genitourinary syndrome of menopause is a chronic, progressive condition of the v***a, va**na, and lower urinary tract which is characterized by the following signs/symptoms:

Vaginal Symptoms
• Vaginal dryness
• Vaginal irritation/burning/itching
• Thinning/graying p***c hair
• Vaginal pelvic pain/pressure
• Shortened narrowed va**na
• Loss of stretchiness
• Minor cuts (lacerations) near the opening
• Whitish discoloration to the va**na
• Decrease in size of the l***a

S*xual Symptoms
• Painful s*xual in*******se
• Decreased lubrication during s*xual activity
• Bleeding after s*xual activity
• Decreased arousal/loss of libido
• Inability to or**sm or painful or**sm

Urinary Symptoms
• Painful urination
• Urinary urgency
• Urinary incontinence (stress and urge)
• Recurrent urinary infections
• Urethral caruncle (red vascular growth on urethra)

How do you treat GSM?

Well initially one could try topical lubricants and moisturizers.
Topical lubricants and moisturizers can help improve symptoms of GSM by increasing hydration and lubrication of the vulvova**nal area. Lubricants and moisturizers are an important treatment option for those who may not be able to take estrogen to otherwise improve dryness and reduce pain.

But more severe cases may need Hormone therapy. What are the hormonal treatment options for va**nal atrophy (GSM)? These may include:

-Estrogen therapy and dehydroepiandrosterone (DHEA) are more commonly used
-but other options can include testosterone and oxytocin therapy (BHRT- Bioidentical Hormone therapy) can also be very beneficial.

Treatment options can be taken by
• O-SHOT
• topical route (patches, creams and gels absorbed through the skin)
• va**nal route (cream, gels, tablets or ring, placed in the va**na)
• oral route (tablet, troches, swallowed or dissolved in the mouth)
And finally, always talking with your partner about your concerns can strengthen your relationship. Getting older and chronic health problems like heart disease or diabetes can affect your s*xual health and how you feel about s*x. Some possible topics to discuss include:
• What feels good and what doesn’t
• Times that you may feel more relaxed
• Which positions are more comfortable
• Whether you need more time to get aroused than before
• Concerns you have about the way your appearance may be changing
• Ways to enjoy physical connection other than va**nal in*******se, such as oral s*x

For More Information, Support or Treatment Contact
Re-EVOLVE MedSpa
Susan Corbett APRN, CNM, MSCP
Tele # 602-777-3525
Re-evolvemedspa.com

Address

13547 N Litchfield Road Surprise, AZ 85379
Surprise, AZ
85379

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