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Menopause has several transitional phases associated with the journey, and it is multifaceted when it comes to individuals, symptoms and their unique experience.  At Coastal Well Woman, our comprehensive approach includes screening and assessment of genitourinary syndrome of menopause (GSM).  Unfortunately, because GSM is not openly discussed or understood, it often goes under-treated. Untreated GSM […]

Challenges and Solutions in Menopause Weight Management & Cardio-Metabolic Risk Reduction Looking good and feeling good in our younger years seemed so easy! I remember eating 1/2 a pizza or two hamburgers and easily maintaining my girlish figure.  But as I aged and moved into the menopause transition, so did my body fat!  It moved to […]

The vaginal microbiome is a dynamic, sensitive microenvironment that changes in response to pregnancy, the menstrual cycle, contraceptive use, estrogen deficiency in menopause and diet. A significant amount of protection is provided by Lactobacillus, the good bacteria which produces lactic acid that contributes to the acidic vaginal pH which ranges from 3.5 – 4.5.  Protective […]