Menopause Specialist
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Alexandra Pellicena, MD, FACOG
OB-GYN located in Houston, TX
My practice has a dedicated focus on the perimenopausal and menopausal transition, a pivotal time that can affect every aspect of a woman’s physical, emotional, and metabolic health. I work closely with patients to identify early hormonal changes, thoughtfully evaluate symptoms, and develop individualized treatment plans that support long-term wellness as well as immediate symptom relief. I have a strong interest in comprehensive hormonal assessment and the careful use of bio-identical hormone replacement therapy (BIHRT), utilizing multiple modalities and routes of administration to tailor therapy to each woman’s physiology, goals, and lifestyle. My approach emphasizes precision, shared decision-making, and restoring balance so women can feel vibrant, clear-minded, and empowered throughout midlife and beyond.
Menopause Q & A
What is menopause?
Medically, menopause refers to your last menstrual period. Menstruation stops due to reduced hormone production, which can also cause other side effects and symptoms impacting nearly your whole body.
On average, menopause occurs around age 51. However, many women experience menopause well before or well after that age.
Menopause can occur in much younger women if they've had their ovaries removed or if radiation or chemotherapy have damaged their ovaries. That's called induced menopause.
What are the signs and symptoms of menopause?
Every woman experiences menopause differently, although some signs and symptoms tend to be more common. Many women experience:
- Difficulty sleeping
- Hot flashes
- Irregular menstrual periods
- Weight gain
- Memory problems
- Problems with their mood
- Vaginal dryness during menopause
Some resolve after menopause while others require intervention from your doctor.
Should I see a doctor about menopause?
Many women wonder if involving a gynecologist in their care during menopause is worth the effort. Because gynecologists specialized in the diagnosis and treatment of issues that impact the physical, mental, and emotional health and well-being of women, involving them in your care during big life changes like menopause is critical.
Not only can they help you battle some of the undesirable signs and symptoms of menopause, but they can also help you identify and limit the risk of disease, as well as diagnose certain conditions as early as possible.
Share your concerns with your gynecologist during your next annual physical. If you're experiencing concerns are discomfort, feel free to schedule an office visit to discuss your concerns.
How is menopause treated?
Menopause itself is untreatable. However, your doctor can help you find the right treatments for your signs and symptoms, such as the most effective cream for aging skin or the most effective hormonal replacements to assist with weight gain and vaginal dryness.
Treatment depends on the signs and symptoms that are most bothersome to you, your medical history, your family history, and other factors. Ask your doctor what you can do to alleviate the discomfort often associated with menopause and enjoy these years of your life.
