Articles by Dr. Berman

Poise Impressa for Stress Urinary Incontinence

Poise Impressa® bladder supports are an over-the-counter solution to stopping urinary leaks before they happen. Watch the clip below that features Dr. Berman explaining its application and the countless benefits of the Poise product.


Waning Hormones? Ways to Keep the Fire Burning

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Women in their 30s and 40s experience times during the month when they feel a boost in libido and overall "sexiness." These feelings can be experienced as a sudden glow of the skin, a boost in self confidence, and more intense and fulfilling sex with their partners.

This monthly boost in sex drive is due to an increase in the secretion of the hormone progesterone during and shortly after ovulation. Hormones play a key role in sexual desire, sexual pleasure and our general feeling of "sexiness." I encourage my patients to try to determine when these feelings of enhanced sexiness and sexual desire occur during the month.  The goal is for women to be aware of their bodies so they can  anticipate, and even plan around, these times – getting a babysitter, scheduling early afternoon as opposed to evening meetings, and committing to a "date night."

Read more: Waning Hormones? Ways to Keep the Fire Burning

Menopause and Your Sex Life

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As women reach their 40s and 50s, they enter a time in their lives referred to as "perimenopause."  During this period, before the menopause, hormone levels start to fluctuate up and down. Lower estrogen levels, as well as fluctuating levels of estrogen, during perimenopause is what causes the symptoms of PMS (premenstrual syndrome), missed periods, mood swings, fatigue and weight gain.

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Recognizing Early Signs of Menopause

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Many women begin to experience signs and symptoms of menopause BEFORE actually going through it—these symptoms can actually start during a time called "PERIMENOPAUSE." The term perimenopause means before menopause or the termination of the menstrual cycle. This can occur anywhere from the mid- to late thirties to early forties or fifties. Women will usually start menstruating and stop menstruating around the same time as their mothers did, so it's a good idea to speak to our mothers about when and how they experienced menopause to get an idea of what we can expect.

Signs and symptoms of perimenopause can include irregular periods, mood swings, weight gain, sleep disruption, sexual dysfunction, and fatigue. If you are experiencing any of the symptoms listed below, you may be experiencing perimenopause and you should speak to your health care provider as there are treatment options available for you. It is also important for you to learn how to manage and recognize these symptoms of perimenopause to optimize your overall health, relationship health, and sexual health during this life transition.

Read more: Recognizing Early Signs of Menopause

Natural Treatments for Vaginal Dryness and Atrophy

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Vaginal dryness is a problem that can affect women of all ages. Thinning of the lining of the vagina resulting in symptoms of dryness is very common as women age and can occur before, during and after menopause. There are several medical prescription treatments to alleviate vaginal dryness that involve topical and oral estrogens. There are also natural home remedies, dietary supplements and lifestyle changes that can help, as well as over-the-counter lubricants that are natural and help to alleviate symptoms of vaginal dryness.

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Caring for Your Sexual Health

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Believe it or not, sexual health is a critical component of our general health and wellness. When things go wrong in the bedroom, we need to take notice. I tell my patients to make sex a priority. However, when issues or problems arise in the sexual  area – be it vaginal dryness, a drop in libido, even decrease in intensity of orgasm – it can be a heralding sign that things are out of balance. It may even suggest a medical problem.

Read more: Caring for Your Sexual Health