A great read

Anything you need let me know. More than happy to help.

Might I add that he writes it in a simple way to be sure all women understand as there is a lot of medical terminology but he clarifies it all and uses metaphors.

Is it in English though

Yes darling. I looked to see if it has been translated but doesn't seem to have been.

I am reading it and the good thing about it is that Dr Naccache is very precise and thorough through it all as he explains things coherently and sympathises with our pains.

I will do some more research but in the meantime anything interesting I will

Post here and it will make it easier for me to answer the questions we ask here. It is very enlightening. What dr Naccache does it try to make us understand menopause and how to deal with it and be able to live well our next 30'years from the onset of perimenopause. Please feel free to ask any question. I shall hopefully be seeing him once I get my results from My biopsy due on 2/9. He is a highly intelligent man and very seeked by women in France. Also he has online consultations. Just google him. Jean Pierre Naccache.

Hi. Any tips on vaginal dryness. Don't want to take HRT even the vaginal cream

I haven't got to that part yet but as soon as I do will let u know.

I use lubricant sometimes when things don't really work accordingly.

Sometimes I wonder why we women have to go through so much and men just sail through they get andropause but it is nothing like what we women have to go through. I just woke up and my hair is soaked. Men have it too easy!

Ok. Got there. Will translate what doc says:

As any ski, 2 factors will intervene regarding the vulva and the vagina.

- natural aging which is normal

- a lack of hormones due to menopause.

These 2 factors are linked and it is difficult to know if one compromises the other. But if one suffers of vulva and vaginal atrophy due to menopause the effects of menopause upon these organs will not be the same.

The vagina is very sensitive and will suffer due to the lack of estrogen and vulva is much more sensitive to the effects of male hormones than those of estrogens. One of the symptoms of of the menopause is vulva itchiness which can be followed by complications, hence must be treated.

Please note that itching of the vulva in menopausal women can hide a lesion that can lead to cancer (usually benign and, in most cases, only the mere manifestation of estrogen deficiency) should be consulted.

Continuing: post menopausal women will feel a reduction of the flora that protects the mucous from certain bacterias. Due to the lack of estrogen the vagina becomes pale, fragile and more prone to infections, thrush, even bleeding. Hence the way of dealing with this will be with local treatment.

Menopause will alter the vulva as well. The large and small lips will become thinner, less salient and can even lose pigmentation. It will become dry. It an be a slow process.

This can be treated with a hormone therapy substitute which will conserve the vulva and vagina. Products such as gels can help a woman live better and healthier.

Treatments:

Colpotrophine

Physiogyne

Trophicreme

Trophigyl

Gydrelle

Karen would you be interested in trying natural over the counter progesterone cream USP approved? You don't put it on your girly parts. It completely helped me with dryness down there.

Hi Cynthia can u give me the name?? Pleaseeeeeeee.

Hi. Sorry but in UK they don't like progesterone cream as it is associated with breast cancer.

Great 😕i just started the cream

That's sad Karen. Progesterone is not the one that leads to cancer. It's too much estrogen. Progesterone protects you from the effects of too much estrogen. People over here in the US confuse Progestin and Natural Progesterone cream. They are both different. I'm using the natural cream because I feel that I'm estrogen dominant. It has helped a lot.

Colleen, I used to worry too until I researched it. If anything, it's the estrogen that is causing cancer. There's too much of it even in our environment. I know women who have been using USP natural progesterone cream without parabens for the past 15 years. They are doing great!