Menopause Specialist

Susanne Ramos, MD

OB/GYN located in Santa Barbara, CA

Though it’s a natural process, menopause is a time of big changes. Some women make it through relatively unaffected, while others seem to experience more than their share of symptoms. No matter how menopause affects you, Dr. Susanne Ramos and her team in Santa Barbara, California, can help you manage any symptoms to help make this a positive and exciting time of your life. Call or book online today for your appointment.

Menopause Q & A

What happens to my body at menopause?

The official start of menopause occurs 12 months after your last menstrual period. While the average age of menopause for American women is 51, it can happen anytime during your 40s and 50s. Natural menopause results from a decline in reproductive hormones. The ovaries make estrogen and progesterone in lower quantities, typically starting in your late 30s.

During perimenopause, the years where you’re transitioning into menopause, your periods may become lighter or stronger, shorter or longer, and the duration between them may fluctuate, including months where you may have no period at all. Other symptoms will likely appear  including:

  • Hot flashes and night sweats
  • Sleep and mood changes
  • Slowing of your metabolism and associated weight gain
  • Dry skin and thinning hair
  • Vaginal dryness
  • Decrease in breast fullness

Whether you need to treat any of these symptoms depends mostly on how much they interfere with your daily life.

What are typical treatments for severe menopause symptoms?

If any of your menopausal symptoms are causing discomfort or distress on a regular basis, talk with Dr. Ramos about possible solutions. For example, if you suffer from vaginal dryness, but have few other symptoms, applying estrogen creams, tablets, or rings directly to the vagina may be a better treatment than oral hormone therapy.

Hot flashes sometimes respond to certain low-dose antidepressants, even if you have no depression symptoms. Similarly, an anti-seizure medication called gabapentin also reduces hot flashes.

Estrogen treatments are the most effective way to relieve a range of menopause symptoms. While there is a statistical increase in the occurrence of side effects when using hormones, for many women the benefits far outweigh the risks.

Dr. Ramos treats genitourinary syndrome of menopause (GSM) using a laser treatment called MonaLisa Touch®.

What does MonaLisa Touch do?

If you have symptoms of GSM, including dryness of the vagina and vulva, with accompanying itching and pain experienced during intercourse or urination, MonaLisa Touch can help. It’s a simple in-office treatment that requires no anesthesia and no downtime.

The MonaLisa Touch treatment provides rejuvenation in the vagina and vulvar areas, restoring this tissue to a fuller, more youthful state, and often bringing relief of menopausal symptoms after the first treatment. Dr. Ramos plans a treatment schedule with you, but many women benefit from three sessions, spaced six weeks apart.

*Individual results may vary.

What we offer