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That preparation is well founded. Hot flashes and night sweats affect roughly 80% of women during the transition, and they are the reason most women seek treatment in the first place."}],"markDefs":[],"style":"normal"},{"_key":"ee0aeab5e383","_type":"block","children":[{"_key":"a8ea9cb88ff70","_type":"span","marks":[],"text":"But almost nothing in that preparation covers what happens when the symptom is itchy skin. Or dry, gritty eyes. Or a shoulder that stops moving, a mouth that burns, ears that ring. A woman with those symptoms does not think about her hormones, because no one ever told her to. She books a dermatologist, an optometrist, a physical therapist, and a dentist, and none of them ask about her periods."}],"markDefs":[],"style":"normal"},{"_key":"69dc3eed738d","_type":"sectionHeader","headerLevel":"h2","title":"What are \"strange\" menopause symptoms?"},{"_key":"1a548da21c67","_type":"block","children":[{"_key":"3916f14446420","_type":"span","marks":[],"text":"Hot flashes, night sweats, irregular periods, and mood changes are the "},{"_key":"c53dd46786b6","_type":"span","marks":["8d8b9938082c"],"text":"common symptoms"},{"_key":"1384fe2faabe","_type":"span","marks":[],"text":" of menopause and perimenopause, and they are widely recognized. Itchy skin, ringing ears, and a shoulder that will not move are not, and sometimes they are referred to as “strange”."}],"markDefs":[{"_key":"8d8b9938082c","_type":"externalLink","linkType":"text","url":"https://asktia.com/article/menopause-perimenopause/#what-are-the-symptoms-of-menopause-and-perimenopause"}],"style":"normal"},{"_key":"92dc6480d02e","_type":"block","children":[{"_key":"4a77fb0694df0","_type":"span","marks":[],"text":"There is nothing strange about them medically. They only feel strange because they show up in places nobody associates with reproductive hormones."}],"markDefs":[],"style":"normal"},{"_key":"944b0bb6b132","_type":"block","children":[{"_key":"c9517d4351ee0","_type":"span","marks":[],"text":"Estrogen is not only a reproductive hormone. Receptors for it appear in cartilage and tendon, the inner ear, the surface of the eye, the lining of the mouth, skin, gut, blood vessels, and lung tissue. When estrogen fluctuates and then falls, any of those tissues can change how they work, and the resulting symptom looks nothing like a hormonal problem."}],"markDefs":[],"style":"normal"},{"_key":"9e22216559dc","_type":"block","children":[{"_key":"1ea32d80e6380","_type":"span","marks":[],"text":"How often does this happen? In a "},{"_key":"1ecec7abad81","_type":"span","marks":["ebbfea25c17d"],"text":"survey run by Newson Health"},{"_key":"1a9d685d5c80","_type":"span","marks":[],"text":", nearly three quarters of respondents reported symptoms they found surprising or unexpected, and hot flushes ranked only 18th on the list of what women actually experienced. The symptoms women are warned about are not the symptoms most of them get."}],"markDefs":[{"_key":"ebbfea25c17d","_type":"externalLink","linkType":"plain","url":"https://www.drlouisenewson.co.uk/knowledge/10-surprising-menopause-symptoms"}],"style":"normal"},{"_key":"9184ad3ca797","_type":"block","children":[{"_key":"2cc072d68ca10","_type":"span","marks":[],"text":"Timing makes it harder. Perimenopause often begins while periods are still regular, so both women and clinicians assume it is too early for hormones to be involved. Each symptom in isolation is also nonspecific, and aching joints or fatigue have dozens of plausible causes."}],"markDefs":[],"style":"normal"},{"_key":"ba16ce1afdbf","_type":"block","children":[{"_key":"5ba1c39c500a0","_type":"span","marks":[],"text":"There is one clue worth watching for. These symptoms tend to arrive in clusters rather than singly, often several within the same two or three years, and many of them wax and wane rather than progressing steadily. A shoulder that flares and settles, skin that itches for a month and then stops, palpitations that cluster premenstrually. That fluctuating pattern is far more typical of hormonal change than of a structural problem."}],"markDefs":[],"style":"normal"},{"_key":"f25c61fbf966","_type":"block","children":[{"_key":"fc8146a9f3170","_type":"span","marks":[],"text":"Menopause research has focused heavily on hot flashes, so the less obvious symptoms have fewer trials and weaker evidence behind them. That does not mean they are imaginary, it means for several of them the association is well documented while the mechanism is still being worked out."}],"markDefs":[],"style":"normal"},{"_key":"429abbc5ae7a","_type":"sectionHeader","headerLevel":"h2","title":"Unusual menopause symptoms"},{"_key":"8025b082f1b8","_type":"block","children":[{"_key":"b8b17101b31f0","_type":"span","marks":[],"text":"These are the symptoms most often attributed to something else entirely."}],"markDefs":[],"style":"normal"},{"_key":"07af435f9abc","_type":"block","children":[{"_key":"6a77a5848c9f0","_type":"span","marks":[],"text":"Aches, stiffness, and frozen shoulder"}],"markDefs":[],"style":"h3"},{"_key":"a0fbfc1175da","_type":"block","children":[{"_key":"5022249be7cd0","_type":"span","marks":[],"text":"Joint and muscle symptoms are the largest and most consistently dismissed group. In 2024, researchers writing in Climacteric named the cluster the "},{"_key":"cf3ec5fafda0","_type":"span","marks":["1a696fcde6e1"],"text":"musculoskeletal syndrome of menopause"},{"_key":"a1876366bc47","_type":"span","marks":[],"text":" and reported that more than 70% of women experience musculoskeletal symptoms through the transition while 25% are disabled by them. It covers joint pain, loss of lean muscle, falling bone density, more tendon and ligament injury, and faster progression of osteoarthritis."}],"markDefs":[{"_key":"1a696fcde6e1","_type":"externalLink","linkType":"text","url":"https://www.tandfonline.com/doi/full/10.1080/13697137.2024.2380363"}],"style":"normal"},{"_key":"3b92eb701baf","_type":"block","children":[{"_key":"dfa08a3b28a50","_type":"span","marks":[],"text":"Frozen shoulder is the clearest example of a symptom hiding in plain sight. It occurs disproportionately in women between 40 and 60, which is exactly the perimenopausal window, and recovery can take years. Most women with it are treated by someone who never asks about periods. Hands are affected too, and women often notice stiff fingers in the morning or a grip that fails on jar lids and heavy pans before they notice anything else. Named as hormonal, the same presentation prompts a conversation about resistance training, protein, vitamin D, and earlier bone density screening, and "},{"_key":"f0c5bd445769","_type":"span","marks":["9f1628b13a19"],"text":"preventive screenings"},{"_key":"3765229431a9","_type":"span","marks":[],"text":" in your 40s and 50s shift accordingly."}],"markDefs":[{"_key":"9f1628b13a19","_type":"internalLink","linkType":"text","reference":{"_id":"94262288-a704-4d23-b465-879e9ed7185f","_type":"editorial","_createdAt":"2025-01-05T20:35:49Z","_rev":"Pt3ANWWznCudbYDKQIQXWT","_updatedAt":"2025-01-17T18:04:27Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_id":"29c10dba-823d-4f71-a20b-15b0d6d9db76","_type":"articleType","_createdAt":"2020-07-02T17:16:49Z","_rev":"SGRUYYXjUz90R9gvybxv4g","_updatedAt":"2022-09-15T12:22:05Z","slug":{"_type":"slug","current":"tia-tackles"},"title":"Tia 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While this time can be full of vitality, it also marks a period when preventive health screenings become increasingly important. These screenings help detect early signs of conditions like perimenopause, breast cancer, and osteoporosis—conditions that can significantly impact a woman's quality of life as she ages. In this post, we'll cover the most important preventive health screenings for women in their 40s and beyond."}],"markDefs":[],"style":"normal"},{"_key":"5e22d08d1fb5","_type":"block","children":[{"_key":"5f0a65b92a010","_type":"span","marks":["strong"],"text":"Cervical Cancer Screening"}],"markDefs":[],"style":"h2"},{"_key":"8b106eb0c2d9","_type":"block","children":[{"_key":"8258dac8940e0","_type":"span","marks":[],"text":"Cervical cancer screening is an essential part of preventive care, even for women in their 40s. According to the American Cancer Society, women between the ages of 40-65 have three options for cervical cancer screening:"}],"markDefs":[],"style":"normal"},{"_key":"03b3db517216","_type":"block","children":[{"_key":"efba90237b1b0","_type":"span","marks":["80caecf30133"],"text":"Pap test"},{"_key":"3260d59e6628","_type":"span","marks":[],"text":" every 3 years"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"80caecf30133","_type":"internalLink","linkType":"text","reference":{"_ref":"6c80fd4d-6443-420b-aac2-08329b7f4634","_type":"reference"}}],"style":"normal"},{"_key":"1f8d0202254c","_type":"block","children":[{"_key":"4485d6eaa8080","_type":"span","marks":[],"text":"Pap test and HPV test (co-testing) every 5 years"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e8d19305b431","_type":"block","children":[{"_key":"ab73fc6a36a80","_type":"span","marks":[],"text":"HPV testing alone every 5 years"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5a9cd7e7815d","_type":"block","children":[{"_key":"af24addc15890","_type":"span","marks":[],"text":"Once you reach age 65, you may be able to stop cervical cancer screening if:"}],"markDefs":[],"style":"normal"},{"_key":"46db82f4cd4f","_type":"block","children":[{"_key":"582fff51db8b0","_type":"span","marks":[],"text":"You’ve had three consecutive negative Pap tests or two negative HPV tests in the past ten years."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3ef3a3665ecc","_type":"block","children":[{"_key":"2883254d04460","_type":"span","marks":[],"text":"You have no history of moderate or severe abnormal cervical cells or cervical cancer."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"462118c25152","_type":"block","children":[{"_key":"68a0c48d07f30","_type":"span","marks":[],"text":"It’s important to talk to your healthcare provider about the best screening schedule based on your health history."}],"markDefs":[],"style":"normal"},{"_key":"2fe7d94708c4","_type":"block","children":[{"_key":"88ad5fccabe70","_type":"span","marks":["strong"],"text":"Breast Cancer Screening"}],"markDefs":[],"style":"h2"},{"_key":"86503ba11e12","_type":"block","children":[{"_key":"4b86af9107560","_type":"span","marks":[],"text":"Breast cancer is a significant health concern, but early detection through screening can improve outcomes. The American College of Obstetricians and Gynecologists (ACOG) recommends that women with average risk begin regular breast cancer screenings with a mammogram starting at age 40."}],"markDefs":[],"style":"normal"},{"_key":"2f26eaf5b398","_type":"block","children":[{"_key":"d2fae999b6bf0","_type":"span","marks":[],"text":"You should continue getting mammograms every 1-2 years until age 75."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4a3b37060a41","_type":"block","children":[{"_key":"9a97f548bf550","_type":"span","marks":[],"text":"If you have a family history of breast cancer or genetic markers, you may need to start screening earlier or undergo additional imaging tests."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"caca9fea0612","_type":"block","children":[{"_key":"c29b24992eb80","_type":"span","marks":[],"text":"These screenings help detect abnormal changes or identify "},{"_key":"385af8f087be","_type":"span","marks":["7f838c921939"],"text":"breast concerns"},{"_key":"5caa4818602e","_type":"span","marks":[],"text":" early, which is critical for timely intervention."}],"markDefs":[{"_key":"7f838c921939","_type":"internalLink","linkType":"text","reference":{"_ref":"daa30314-08b8-4435-81d4-4eea702a2edb","_type":"reference"}}],"style":"normal"},{"_key":"283525e9b4fe","_type":"block","children":[{"_key":"13d48a6761ce0","_type":"span","marks":["strong"],"text":"Blood Pressure Screening"}],"markDefs":[],"style":"h2"},{"_key":"4044b42e1549","_type":"block","children":[{"_key":"ba4400468fd50","_type":"span","marks":[],"text":"High blood pressure can quietly damage your heart, kidneys, and arteries over time. 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Detecting diabetes early allows you to manage the condition through lifestyle changes and medications, which can prevent complications like kidney disease, nerve damage, and cardiovascular issues."}],"markDefs":[],"style":"normal"},{"_key":"d506a5065166","_type":"block","children":[{"_key":"af9c1d515c5b0","_type":"span","marks":["strong"],"text":"Eye Exam"}],"markDefs":[],"style":"h2"},{"_key":"634faa3f5409","_type":"block","children":[{"_key":"c327f31f41560","_type":"span","marks":[],"text":"Your eye health is just as important as the rest of your body. Starting at age 40, women should get an eye exam every 2-4 years. From ages 55 to 64, eye exams should be conducted every 1-3 years. Early detection of eye conditions like cataracts, glaucoma, and macular degeneration can prevent vision loss. 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If you have a family history of colon cancer or conditions like inflammatory bowel disease, your provider may recommend earlier screenings."}],"markDefs":[],"style":"normal"},{"_key":"59e86b705d16","_type":"block","children":[{"_key":"bf1c2ab1ae190","_type":"span","marks":[],"text":"There are various methods for screening, including:"}],"markDefs":[],"style":"normal"},{"_key":"e824c422d748","_type":"block","children":[{"_key":"16ff4e0030940","_type":"span","marks":[],"text":"Fecal occult blood tests (FOBT)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d9d5fe805880","_type":"block","children":[{"_key":"e04bb4d7a5700","_type":"span","marks":[],"text":"Flexible sigmoidoscopy"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5cf1cefdffc9","_type":"block","children":[{"_key":"fafe2b3b554d0","_type":"span","marks":[],"text":"CT colonography"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"760aca2acdc6","_type":"block","children":[{"_key":"659a3394f53b0","_type":"span","marks":[],"text":"The gold standard for colon cancer screening is a colonoscopy, which should be repeated every 10 years or sooner, depending on your doctor’s recommendations."}],"markDefs":[],"style":"normal"},{"_key":"115e58fb2dd1","_type":"block","children":[{"_key":"35ebd4c7c04b0","_type":"span","marks":["strong"],"text":"Bone Density Screening"}],"markDefs":[],"style":"h2"},{"_key":"7ba4016c88f0","_type":"block","children":[{"_key":"c93df82b4a950","_type":"span","marks":[],"text":"As women approach menopause, the risk of developing osteoporosis increases due to the decline in estrogen levels. 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"},{"_key":"4330d0a16016","_type":"span","marks":["f8ce0d749cc7"],"text":"migraine"},{"_key":"3a410b32026f","_type":"span","marks":[],"text":". If you’ve ever experienced a migraine, you know it can be far more than just a headache. Migraines involve severe, throbbing pain, often concentrated on one side of the head, and can be accompanied by nausea, vomiting, and heightened sensitivity to light, sound, and smells."}],"markDefs":[{"_key":"2b47414f78ae","_type":"internalLink","linkType":"text","reference":{"_ref":"b436c559-d314-41e7-9628-5c5f550c6c6f","_type":"reference"}},{"_key":"f8ce0d749cc7","_type":"internalLink","linkType":"text","reference":{"_ref":"a326c82b-78d7-4609-8466-2cd51c2acaa9","_type":"reference"}}],"style":"normal"},{"_key":"73db0deb0af9","_type":"block","children":[{"_key":"a63b1f1f0a900","_type":"span","marks":[],"text":"For many, these intense episodes are more than just painful – they disrupt daily life and can last up to 72 hours if untreated. Traditional medicine offers a range of treatments, but a growing number of people are turning to acupuncture as a holistic approach to alleviate migraines and headaches. Research even suggests that acupuncture may be just as effective as pharmaceutical treatments, offering a natural alternative for those seeking relief without the side effects of medications."}],"markDefs":[],"style":"normal"},{"_key":"647c49f7e0a8","_type":"block","children":[{"_key":"dbb12e97a3d90","_type":"span","marks":[],"text":"Read on to discover how acupuncture can be an effective therapy for managing migraines and headaches and why it might be worth trying the next time a migraine strikes."}],"markDefs":[],"style":"normal"},{"_key":"3e6ad51ceb3a","_type":"sectionHeader","headerLevel":"h2","title":"The Difference between Migraines and Headaches"},{"_key":"90c2f3dbef04","_type":"block","children":[{"_key":"12a953d9d5760","_type":"span","marks":[],"text":"Migraines are more than just a severe headache. They are a complex neurovascular condition that can last anywhere from 4 to 72 hours. Affecting millions of people, especially women, migraines are a leading cause of emergency room visits. The pain of a migraine is often accompanied by other symptoms, including nausea, sensitivity to light (photophobia), sensitivity to sound (phonophobia), and an aura – a series of sensory and motor symptoms that can signal the onset of a migraine."}],"markDefs":[],"style":"normal"},{"_key":"424eecec91aa","_type":"sectionHeader","headerLevel":"h2","title":"Types of Migraines"},{"_key":"22fc9b426e8c","_type":"block","children":[{"_key":"08dc73f396ef0","_type":"span","marks":["strong"],"text":"Migraine with Aura (Classic Migraine):"},{"_key":"08dc73f396ef1","_type":"span","marks":[],"text":" Includes visual disturbances and other symptoms before the headache begins."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"aa8a9b167520","_type":"block","children":[{"_key":"5c6f9809712e0","_type":"span","marks":["strong"],"text":"Migraine without Aura (Common Migraine):"},{"_key":"5c6f9809712e1","_type":"span","marks":[],"text":" The most common type, without the preceding aura."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9d1e722028b3","_type":"block","children":[{"_key":"9254b47e876a0","_type":"span","marks":["strong"],"text":"Menstrual Migraine:"},{"_key":"9254b47e876a1","_type":"span","marks":[],"text":" Triggered by hormonal changes during menstruation."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3d1ae253bd3c","_type":"block","children":[{"_key":"b7b3b15736540","_type":"span","marks":["strong"],"text":"Silent Migraine:"},{"_key":"b7b3b15736541","_type":"span","marks":[],"text":" Symptoms like aura without the headache."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"90478b98d211","_type":"block","children":[{"_key":"39cc1cfc5e630","_type":"span","marks":["strong"],"text":"Vestibular Migraine:"},{"_key":"39cc1cfc5e631","_type":"span","marks":[],"text":" Includes dizziness and balance 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This belief, deeply rooted in our care philosophy, has shaped every service we offer, from gynecology and primary care to mental health and acupuncture. We understand that true well-being is multifaceted and highly personal, so we provide a multidimensional approach to meet our patient's unique healthcare needs. 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Skin can be a first health indicator for various health concerns. For example, dull, dry, or itchy skin can be signs of something going on below the surface. Issues like "},{"_key":"880cc4f67775","_type":"span","marks":["5d53d2684c97"],"text":"acne, rosacea, and chronic rashes"},{"_key":"065b378d69eb","_type":"span","marks":[],"text":" aren't just skin-deep—they can be linked to stress, hormones, or diet or represent underlying complex health issues. Furthermore, how you feel about your skin can profoundly affect confidence, comfort, mental health, and quality of life."}],"markDefs":[{"_key":"5d53d2684c97","_type":"internalLink","linkType":"text","reference":{"_ref":"9860af8e-bd06-46d6-ad0b-3d25a5cbd7bf","_type":"reference"}}],"style":"normal"},{"_key":"7b174fa53abd","_type":"block","children":[{"_key":"b7915589f3ab0","_type":"span","marks":[],"text":"At Tia, our approach to healthcare has always been integrative, offering a blend of treatments such as medication, acupuncture, diet and lifestyle recommendations, and mental health support to treat the whole person. Skin conditions like acne and rosacea are “whole body” healthcare issues, and caring for these conditions often should include recommendations beyond a single topical solution or medication. "}],"markDefs":[],"style":"normal"},{"_key":"92fe4054bb1c","_type":"block","children":[{"_key":"74eacf469626","_type":"span","marks":[],"text":"With the addition of skin care in our primary care practice, we can treat conditions like acne, eczema, rosacea, and rashes with a holistic approach, just as we do with other health concerns. Skin health is so much more than skin-deep, and at Tia, we can treat both the frustrating and uncomfortable symptoms, as well as the underlying root causes."}],"markDefs":[],"style":"normal"},{"_key":"f3182bd81608","_type":"block","children":[{"_key":"b875771413cd0","_type":"span","marks":[],"text":"Confidence and skin health go hand in hand."}],"markDefs":[],"style":"h1"},{"_key":"dc805cfb6f2f","_type":"block","children":[{"_key":"287308a01b020","_type":"span","marks":[],"text":"In addition to medical skin care services, we're excited to introduce aesthetic skin care services like "},{"_key":"2c4f50a356b6","_type":"span","marks":["5fd40c6396a0"],"text":"wrinkle care"},{"_key":"f2809db5c3a6","_type":"span","marks":[],"text":", "},{"_key":"2dcd4e8784aa","_type":"span","marks":["5fa5bfedbf13"],"text":"microneedling"},{"_key":"cca591f108e6","_type":"span","marks":[],"text":", and medical-grade "},{"_key":"53e8eafd5ebd","_type":"span","marks":["d7fb9f7076cb"],"text":"chemical peels"},{"_key":"913b5784d881","_type":"span","marks":[],"text":". These services are frequently viewed as purely cosmetic, but we see them as another pathway to feeling good in your body. Just as primary care is vital to overall wellness, your well-being in your body (and skin) can profoundly impact self-esteem and mental health. Your skin is the presentation of yourself to the rest of the world, and when we don’t feel good about our skin, it can be hard to feel good about ourselves. "}],"markDefs":[{"_key":"5fd40c6396a0","_type":"internalLink","linkType":"text","reference":{"_ref":"5db6b02e-4aa6-4022-8d36-0cc090f8b0bb","_type":"reference"}},{"_key":"5fa5bfedbf13","_type":"internalLink","linkType":"text","reference":{"_ref":"8e70c771-3551-4fd1-92d8-93b64554a263","_type":"reference"}},{"_key":"d7fb9f7076cb","_type":"internalLink","linkType":"text","reference":{"_ref":"8d77ca03-cf3c-4133-a37e-2fb03807eabd","_type":"reference"}}],"style":"normal"},{"_key":"fc54e49e7219","_type":"block","children":[{"_key":"7e72f1f010fc","_type":"span","marks":[],"text":"We recognize that each person's definition of \"feeling good\" is unique. For many women, that includes addressing fine lines, wrinkles, uneven skin tone, or scarring. For others, it might be about managing the physical discomfort of skin conditions like eczema. By offering medical and aesthetic skin care services, we offer women more choices in how they want to care for their bodies."}],"markDefs":[],"style":"normal"},{"_key":"91b90dfa76bf","_type":"block","children":[{"_key":"5b650568c0520","_type":"span","marks":[],"text":"Not your average medical spa, our providers are licensed & trained."}],"markDefs":[],"style":"h1"},{"_key":"902376020903","_type":"block","children":[{"_key":"69a0402af1cc0","_type":"span","marks":[],"text":"The aesthetic skin care industry is generally not highly regulated, and it's common for practitioners to have limited medical training, depending on the type of care being provided. At Tia, we prioritize high standards of care, ensuring that our providers are thoroughly trained and qualified. "}],"markDefs":[],"style":"normal"},{"_key":"0a5a976ba2c2","_type":"block","children":[{"_key":"a457a68f5133","_type":"span","marks":[],"text":"We've elected to use Aesthetic Nurse Practitioners and licensed providers with specialty training for our aesthetic services, ensuring our approach is clinically sound and evidence-based. Skin care at Tia (both medical and aesthetic) follows the same high-quality, empathetic standards we set for the rest of our services. Our skilled providers are here to help you put your best face forward."}],"markDefs":[],"style":"normal"},{"_key":"6a96ca681711","_type":"block","children":[{"_key":"4ad1520401460","_type":"span","marks":[],"text":"Laugh lines or invisible pores, the choice is yours."}],"markDefs":[],"style":"h1"},{"_key":"3ef92c15b337","_type":"block","children":[{"_key":"8c1a69f5dba60","_type":"span","marks":[],"text":"At Tia, our mission is to help you achieve your health goals while maximizing both your lifespan (how long you live) and your health span (the number of healthy, vibrant years you enjoy). We know the factors influencing aging are complex, but we believe aging should be celebrated. That's why we're committed to helping women find their version of “healthy,” whatever that means to them. "}],"markDefs":[],"style":"normal"},{"_key":"9f6e1176f6f2","_type":"block","children":[{"_key":"b0b6c931865b","_type":"span","marks":[],"text":"Whether you choose to embrace every line as a badge of pride, or opt for skin care solutions that help you maintain a youthful glow, we're here to celebrate you. Our providers know and understand this as well and will work with you to build a plan that’s as unique as your fingerprints. Our priority is to provide safe, evidence-based care that helps you to make the decisions for your specific journey."}],"markDefs":[],"style":"normal"},{"_key":"fe95bcbd8b93","_type":"block","children":[{"_key":"4c992ea4970d0","_type":"span","marks":[],"text":"Comprehensive healthcare from head to toe: body, mind, and, now, skin."}],"markDefs":[],"style":"h1"},{"_key":"e5f962a3773a","_type":"block","children":[{"_key":"f7d76dfc99900","_type":"span","marks":[],"text":"Ultimately, our mission is to give women the power to decide how they care for their bodies, minds, and selves. Whether managing chronic skin conditions or enhancing their sense of self through medical-grade aesthetic treatments, we support women in their journey to skin health. "}],"markDefs":[],"style":"normal"},{"_key":"0cde4e53a4a9","_type":"block","children":[{"_key":"eb4f865617b0","_type":"span","marks":[],"text":"Our expansion into skin care is a natural extension of our commitment to helping every woman feel good in her mind, body (and skin). 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These symptoms include abdominal pain, cramps, gas, bloating, diarrhea, and constipation."}],"markDefs":[],"style":"normal"},{"_key":"75b94ed72972","_type":"block","children":[{"_key":"7865bffd72c30","_type":"span","marks":[],"text":"In western countries, like the US, up to 15% of adults have IBS, which makes it the most commonly diagnosed GI disorder we have. Also, for unknown reasons, IBS seems to affect people assigned female at birth "},{"_key":"7865bffd72c31","_type":"span","marks":["em"],"text":"twice as often as men"},{"_key":"7865bffd72c32","_type":"span","marks":[],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"15c1d5121770","_type":"block","children":[{"_key":"8500f44deed40","_type":"span","marks":[],"text":"There really is no soft way around the hard truth: IBS is a cumbersome condition that can impact physical, mental, and emotional health as well as every facet of your life."}],"markDefs":[],"style":"normal"},{"_key":"8b90a11ccb37","_type":"block","children":[{"_key":"bd894cda66630","_type":"span","marks":[],"text":"Home life. Work life. Social life. And, yes, even your sex life."}],"markDefs":[],"style":"normal"},{"_key":"4d46b10642ca","_type":"block","children":[{"_key":"2fb5f9e2c5d60","_type":"span","marks":[],"text":"The good news is IBS doesn’t cause tissue damage in your GI tract or increase your risk of more serious conditions, like colon cancer. Additionally, most people can effectively manage IBS symptoms with a combination of lifestyle changes, diet adjustments, medications, and even behavioral therapy."}],"markDefs":[],"style":"normal"},{"_key":"5092fab09317","_type":"sectionHeader","headerLevel":"h2","title":"IBS Symptoms"},{"_key":"2fa5a11bce64","_type":"block","children":[{"_key":"2f33d0daae410","_type":"span","marks":[],"text":"Besides being chronic and cumbersome, IBS can be confusing too. Some people get IBS with constipation; some people get IBS with diarrhea; some people get IBS with a mix of those symptoms. A fourth category, Unsubtyped IBS, describes the condition when its symptoms don’t follow a predictable pattern."}],"markDefs":[],"style":"normal"},{"_key":"2a91e37a4bf2","_type":"block","children":[{"_key":"0d8ab5a50bd90","_type":"span","marks":[],"text":"Another confusing and frustrating thing about IBS is this: Symptoms can appear frequently or only during flare-ups. In other words, the condition can wax and wane without any warning, causing lots of discomfort for a stretch of time. While other times, people can experience no symptoms (and normal bowel movements) for another period of time."}],"markDefs":[],"style":"normal"},{"_key":"da993c1e826d","_type":"block","children":[{"_key":"eef0d2c7773c0","_type":"span","marks":[],"text":"When IBS strikes, these are the most common symptoms people tend to experience:"}],"markDefs":[],"style":"normal"},{"_key":"5c19798d81ca","_type":"block","children":[{"_key":"f050756bbe0a0","_type":"span","marks":["8069437afb84"],"text":"Abdominal pain and cramps"},{"_key":"dc87395af8dd","_type":"span","marks":[],"text":", usually related to having a bowel movement."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"8069437afb84","_type":"externalLink","linkType":"text","url":"https://asktia.com/help-with-stomach-pain-issues"}],"style":"normal"},{"_key":"7e312938c05a","_type":"block","children":[{"_key":"8994cc03c1760","_type":"span","marks":[],"text":"Excess gas and bloating in the body."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ad2ed776acb5","_type":"block","children":[{"_key":"4bd659c7519f0","_type":"span","marks":[],"text":"Chronic constipation (IBS-C), diarrhea (IBS-D), or both (IBS-M)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5552bdd27a45","_type":"block","children":[{"_key":"964983f177c40","_type":"span","marks":[],"text":"An urgency to use the bathroom and a sensation of still needing to empty your bowels after having a bowel movement."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5a68211a2cd7","_type":"block","children":[{"_key":"d603ccb050a10","_type":"span","marks":[],"text":"Mucus (a whitish film) in your stool."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bb1b61f88532","_type":"block","children":[{"_key":"a2fecd1ad2590","_type":"span","marks":[],"text":"People with IBS may also experience symptoms unrelated to the intestines, such as:"}],"markDefs":[],"style":"normal"},{"_key":"fc3c34ed4dff","_type":"block","children":[{"_key":"619db35ba68c0","_type":"span","marks":[],"text":"Migraine headaches"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"09bbb2e60737","_type":"block","children":[{"_key":"024f87cadf140","_type":"span","marks":["1a08d71e4541"],"text":"Sleep disturbances"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"1a08d71e4541","_type":"externalLink","linkType":"text","url":"http://asktia.com/help-with-sleep-disturbances"}],"style":"normal"},{"_key":"3eecd3c55a95","_type":"block","children":[{"_key":"a28b8ff35f870","_type":"span","marks":[],"text":"Anxiety and depression"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"07e76088c33c","_type":"block","children":[{"_key":"14a83c8a6e230","_type":"span","marks":[],"text":"Fibromyalgia"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fdd9ab95ae15","_type":"block","children":[{"_key":"d65ff42444cb0","_type":"span","marks":[],"text":"Pelvic pain"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"857cdb2d5dfc","_type":"sectionHeader","headerLevel":"h2","title":"Causes and Triggers of IBS"},{"_key":"6d187429b36b","_type":"block","children":[{"_key":"e52bc8eb29150","_type":"span","marks":[],"text":"While the definitive cause of IBS is unknown, research shows that IBS may be related to hypersensitivity of nerves found in the walls of the GI tract. Most people associate serotonin, the “feel-good” chemical, with happiness, mood regulation, and mental health. But the gut is loaded with serotonin receptors, and this “happiness hormone” plays a big role in digestive health too. This finding might explain why IBS can have a wide-ranging set of symptoms that are triggered by a variety of factors."}],"markDefs":[],"style":"normal"},{"_key":"b78045ccdb3d","_type":"block","children":[{"_key":"912859ba890e0","_type":"span","marks":[],"text":"Women with IBS often recognize certain factors that trigger their symptoms. Triggers vary greatly from person to person, but here are some of the most common ones:"}],"markDefs":[],"style":"normal"},{"_key":"e32c266d88e6","_type":"block","children":[{"_key":"b8813c16c8900","_type":"span","marks":[],"text":"Periods: For some people, IBS worsens predictably according to their menstrual cycle."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"59cbdd760b2b","_type":"block","children":[{"_key":"69e7320361c40","_type":"span","marks":[],"text":"Food: Common culprits include dairy products, food that contain gluten, and food or drinks that cause “gas”."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1ebd2f15bd57","_type":"block","children":[{"_key":"3a98be5d00510","_type":"span","marks":[],"text":"Psychosocial Factors: Stress, anxiety, and depression, which have complex interactions with the gut-brain axis, are more commonly reported by women with IBS."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"df507bd7e0cd","_type":"sectionHeader","headerLevel":"h2","title":"Diagnosing IBS"},{"_key":"4cb16a159723","_type":"block","children":[{"_key":"62721624903d0","_type":"span","marks":[],"text":"A healthcare provider diagnoses IBS based on symptoms and medical history. If you have “red flag” symptoms (unexplained weight loss, anemia, GI bleeding), your provider may order additional tests to rule out another condition, like celiac disease or IBD (inflammatory bowel disease)."}],"markDefs":[],"style":"normal"},{"_key":"276af0358f9b","_type":"block","children":[{"_key":"379b07f657df0","_type":"span","marks":[],"text":"Additional testing might include:"}],"markDefs":[],"style":"normal"},{"_key":"fa8f720c8a4a","_type":"block","children":[{"_key":"15a7c174026d0","_type":"span","marks":[],"text":"Blood tests to check for other digestive diseases"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4e43727774ed","_type":"block","children":[{"_key":"43ff941ef5130","_type":"span","marks":[],"text":"Stool tests to look for signs of infection and inflammation"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b7feccb45d2d","_type":"block","children":[{"_key":"7874e5075c300","_type":"span","marks":[],"text":"A hydrogen breath test to rule out bacterial overgrowth in your gut"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6c74e03add41","_type":"block","children":[{"_key":"7e44d059a30f0","_type":"span","marks":[],"text":"Lactose intolerance testing to rule out this condition."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b94dc11c38d9","_type":"block","children":[{"_key":"c0b82f9fb7980","_type":"span","marks":[],"text":"If clinical suspicion still exists after further testing, your provider might order an imaging study, like a colonoscopy, endoscopy, or CT scan, to confirm a diagnosis of IBS by process of exclusion."}],"markDefs":[],"style":"normal"},{"_key":"20c832ac38ea","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"81b57ef837ce","_type":"block","children":[{"_key":"cce3623fc9270","_type":"span","marks":["strong"],"text":"Need IBS Support?"}],"markDefs":[],"style":"h3"},{"_key":"33b865c39f2c","_type":"block","children":[{"_key":"c492d827c235","_type":"span","marks":[],"text":"Get care within days, not months either online or in-clinic to discuss your health."}],"markDefs":[],"style":"normal"},{"_key":"73e332a73cef","_type":"block","children":[{"_key":"15be61b7c095","_type":"span","marks":[],"text":"Takes 3-5 minutes to create an account"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"17fe8b53f104","_type":"block","children":[{"_key":"f97dde80fb63","_type":"span","marks":[],"text":"No membership fee to book"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8cfef4319807","_type":"block","children":[{"_key":"bdf98de6acd8","_type":"span","marks":[],"text":"Insurance accepted"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8cedab219f2d","_type":"buttonBlock","items":[{"_key":"52d27a3ce63e","_type":"singleButton","addWidgetCopy":false,"backgroundColor":"bcorange","linkCta":"Book appointment","linkType":"join-scroll-shape"}]}]},{"_key":"ade622eae948","_type":"sectionHeader","headerLevel":"h2","title":"Managing and Treating IBS"},{"_key":"39ed6f53927c","_type":"block","children":[{"_key":"6b7416cf490c0","_type":"span","marks":[],"text":"Managing IBS often requires a multifaceted approach, including dietary changes, stress management, medication, and behavioral therapy. Treatment focuses on reducing symptoms so a person with IBS can experience less discomfort less often and be able to predict flare-ups more often. As with many chronic health conditions, time and trial and error are two of the most important factors to keep in mind when seeking a management strategy that works best for you and your unique condition."}],"markDefs":[],"style":"normal"},{"_key":"442c25818a3f","_type":"sectionHeader","headerLevel":"h2","title":"Dietary Changes for IBS"},{"_key":"622f9782b89b","_type":"block","children":[{"_key":"06f519455d6c0","_type":"span","marks":[],"text":"Low-FODMAP Diet"}],"markDefs":[],"style":"h3"},{"_key":"e35f16c905ee","_type":"block","children":[{"_key":"558d281f53490","_type":"span","marks":[],"text":"According to Dr. Suma Magge, a board-certified gastroenterologist and co-author of “"},{"_key":"6bd41b983f6d","_type":"span","marks":["2519dd717e65"],"text":"Low-FODMAP Diet for Treatment of Irritable Bowel Syndrome"},{"_key":"c9ee1f683f49","_type":"span","marks":[],"text":"”: Diet is a huge component in patients with IBS."}],"markDefs":[{"_key":"2519dd717e65","_type":"externalLink","linkType":"text","url":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3966170/"}],"style":"normal"},{"_key":"2fe300eca131","_type":"block","children":[{"_key":"54c451b06b350","_type":"span","marks":[],"text":"Dr. Magge and other gastroenterologists often recommend a low-FODMAP diet as the first-line diet of choice for IBS."}],"markDefs":[],"style":"normal"},{"_key":"7801840bd94b","_type":"block","children":[{"_key":"b214812f3b7a0","_type":"span","marks":[],"text":"A low-FODMAP (fermented oligosaccharides, disaccharides, monosaccharides, and polyols) involves reducing the intake of certain fermentable carbohydrates that bring fluid into the intestines, causing gas, bloating, and diarrhea."}],"markDefs":[],"style":"normal"},{"_key":"5ead0a5e2f8c","_type":"block","children":[{"_key":"aa66466e46750","_type":"span","marks":[],"text":"Since a low-FODMAP diet can be restrictive, most experts recommend meeting with a nutritionist before starting this diet."}],"markDefs":[],"style":"normal"},{"_key":"6af09b2d65e3","_type":"block","children":[{"_key":"a0878683480d0","_type":"span","marks":[],"text":"Go Easy on the Gas"}],"markDefs":[],"style":"h3"},{"_key":"541b3fa21d5c","_type":"block","children":[{"_key":"ab7200b8df2d0","_type":"span","marks":[],"text":"If you don’t have the stomach for going full low-FODMAP, cutting back on foods and beverages that create gas (brussels sprouts, cabbage, carbonated drinks) can make a big difference for some people."}],"markDefs":[],"style":"normal"},{"_key":"4a8c55a17c9f","_type":"block","children":[{"_key":"7aded947915f0","_type":"span","marks":[],"text":"Increase Fiber Intake"}],"markDefs":[],"style":"h3"},{"_key":"8a25d368029b","_type":"block","children":[{"_key":"dd370117b0db0","_type":"span","marks":[],"text":"Eating more fiber-rich foods or taking a fiber supplement may help, especially if diarrhea (IBS-D) is your dominant symptom."}],"markDefs":[],"style":"normal"},{"_key":"6827eebb991c","_type":"block","children":[{"_key":"d5f7beb915420","_type":"span","marks":[],"text":"Limit Lactose"}],"markDefs":[],"style":"h3"},{"_key":"0cbb445242f5","_type":"block","children":[{"_key":"0824572ff1d80","_type":"span","marks":[],"text":"Lactose intolerance is more common in people with IBS, so limiting dairy products is something to consider."}],"markDefs":[],"style":"normal"},{"_key":"34dcc43f5865","_type":"block","children":[{"_key":"45a7d5c0b2380","_type":"span","marks":[],"text":"Avoid Gluten"}],"markDefs":[],"style":"h3"},{"_key":"015ca442d691","_type":"block","children":[{"_key":"6ebcaa379a1e0","_type":"span","marks":[],"text":"People with IBS tend to be more sensitive to gluten (a protein found in wheat and other grains), so following a gluten-free diet can be a good thing to try."}],"markDefs":[],"style":"normal"},{"_key":"6e1c4170d9a3","_type":"block","children":[{"_key":"c7ed4f5e08f50","_type":"span","marks":[],"text":"Drink More Water"}],"markDefs":[],"style":"h3"},{"_key":"586f436b05ab","_type":"block","children":[{"_key":"0b124565957b0","_type":"span","marks":[],"text":"Water can work wonders for promoting gut health and preventing constipation, so make sure you’re getting enough."}],"markDefs":[],"style":"normal"},{"_key":"271e1f3bc6f0","_type":"sectionHeader","headerLevel":"h2","title":"Lifestyle Changes for IBS"},{"_key":"cfc0e2eb28fe","_type":"block","children":[{"_key":"dabf93bd30b80","_type":"span","marks":[],"text":"Making a few commonsense lifestyle changes can also provide relief for people with IBS. Some common recommendations include:"}],"markDefs":[],"style":"normal"},{"_key":"9eeef05d142a","_type":"block","children":[{"_key":"064c297e1c5b0","_type":"span","marks":[],"text":"Get regular exercise"}],"markDefs":[],"style":"h3"},{"_key":"9fddfac4703f","_type":"block","children":[{"_key":"db6e4fb9031b0","_type":"span","marks":[],"text":"Even just walking briskly for 30 minutes 3-5 days per week can help improve IBS symptoms and overall health."}],"markDefs":[],"style":"normal"},{"_key":"b98f2fa994e0","_type":"block","children":[{"_key":"11695ac00d670","_type":"span","marks":[],"text":"Try relaxation techniques"}],"markDefs":[],"style":"h3"},{"_key":"5e708605e49c","_type":"block","children":[{"_key":"e16d7bdbc8a70","_type":"span","marks":[],"text":"Yoga. Meditation. Tai chi. Breath work. There are numerous de-stressing practices that can help calm down an overtaxed nervous system."}],"markDefs":[],"style":"normal"},{"_key":"7625f9c4492d","_type":"block","children":[{"_key":"21c4c3beeb990","_type":"span","marks":[],"text":"Get enough sleep"}],"markDefs":[],"style":"h3"},{"_key":"728ad576f559","_type":"block","children":[{"_key":"7ed9fdff06890","_type":"span","marks":[],"text":"What does improved sleep quality not help? Aim for 7-9 hours of quality, restful sleep per night."}],"markDefs":[],"style":"normal"},{"_key":"11eabff9d47f","_type":"block","children":[{"_key":"ed32a1ef7a0b0","_type":"span","marks":[],"text":"Try therapy"}],"markDefs":[],"style":"h3"},{"_key":"764125817c31","_type":"block","children":[{"_key":"7355a14fee0b0","_type":"span","marks":[],"text":"oBecause IBS can cause such a disruption in quality of life and lead to mental health issues, many people benefit from seeing a therapist. Cognitive behavioral therapy (CBT), hypnotherapy, and biofeedback are just a few types of therapy that may help, especially if anxiety and depression are also at play."}],"markDefs":[],"style":"normal"},{"_key":"24097de9690e","_type":"sectionHeader","headerLevel":"h2","title":"Medications for IBS"},{"_key":"bcd2d38f2152","_type":"block","children":[{"_key":"e59721bdbf450","_type":"span","marks":[],"text":"For people who don’t find relief from diet and lifestyle changes alone, medicine may be necessary. Thankfully, there are many options. Your provider will help you choose the best medication (or combination of meds) for your specific symptoms, so make sure you seek care from a clinical expert who welcomes an open and honest conversation and has the patience and perseverance to find a personalized treatment plan that works. That treatment plan might include one or more of the following medications:"}],"markDefs":[],"style":"normal"},{"_key":"bb192d3c2a8f","_type":"block","children":[{"_key":"3ee913496c190","_type":"span","marks":[],"text":"Osmotic laxatives and stool softeners, like Miralax, pull water into the colon and soften stool."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c481b1ea6133","_type":"block","children":[{"_key":"2ed90a0b88a40","_type":"span","marks":[],"text":"Antidiarrheal agents, like Loperamide, reduce intestinal transit time and increase water absorption in the gut."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"eb8ff9cf2f63","_type":"block","children":[{"_key":"0b8b1e7578e30","_type":"span","marks":[],"text":"Antispasmodic medications, like Bentyl, can help relieve abdominal pain and ease bloating and gas."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"75c916c8fc33","_type":"block","children":[{"_key":"9ebcd6e98ce40","_type":"span","marks":[],"text":"Antidepressants, like SSRIs and tricyclic antidepressants, have been shown to relieve pain. This class of medicine can also help with anxiety and depression."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"78901e12ebb9","_type":"block","children":[{"_key":"c432b357377a0","_type":"span","marks":[],"text":"Rifaximin, the only FDA-approved antibiotic for IBS-D, is thought to work by modifying bacteria in the gut and reducing inflammation."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5a234a21dfd2","_type":"block","children":[{"_key":"6d432bb30d450","_type":"span","marks":[],"text":"Prosecretory agents, like Linzess, increase fluid secretion and gut motility and can improve symptoms related to IBS-C."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9046f5703f62","_type":"block","children":[{"_key":"ca92291e6dd80","_type":"span","marks":[],"text":"Direct serotonin agonists/antagonists, like Zelnorm and Lotronex, are reserved for severe IBS-C and IBS-D that don’t respond to other treatments."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"210d61c97b2e","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"10bfc372ede5","_type":"block","children":[{"_key":"0d6cdac95105","_type":"span","marks":["strong"],"text":"Seeking treatment and solutions for IBS?"}],"markDefs":[],"style":"h3"},{"_key":"4127aa340961","_type":"block","children":[{"_key":"7da7b0e3dd6c","_type":"span","marks":[],"text":"If you’re struggling with IBS symptoms, keep the faith. Managing and treating IBS is possible, especially with a comprehensive and personalized approach that addresses the unique aspects of this condition. Plus, the medical community has more awareness and understanding of IBS than ever before, and research continues to unveil the intricacies of this condition. Join Tia today and start your treatment for IBS."}],"markDefs":[],"style":"normal"},{"_key":"6c155edd676a","_type":"buttonBlock","items":[{"_key":"e8c05171c2c7","_type":"singleButton","backgroundColor":"bcorange","linkCta":"Join Tia","linkType":"join-scroll-shape"}]}]}],"image":{"_type":"image","asset":{"_id":"image-371d397e2a77e88437f51e044795f706da09991e-1920x614-webp","_type":"sanity.imageAsset","_createdAt":"2025-11-25T16:51:18Z","_rev":"nZUz5TCmafocT820Lec6o9","_updatedAt":"2025-11-25T16:51:18Z","assetId":"371d397e2a77e88437f51e044795f706da09991e","extension":"webp","metadata":{"_type":"sanity.imageMetadata","blurHash":"DPMaLm0L%M~pt6NYV[oet7oz","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":3.1270358306188926,"height":614,"width":1920},"hasAlpha":false,"isOpaque":true,"lqip":"data:image/jpeg;base64,/9j/2wBDAAYEBQYFBAYGBQYHBwYIChAKCgkJChQODwwQFxQYGBcUFhYaHSUfGhsjHBYWICwgIyYnKSopGR8tMC0oMCUoKSj/2wBDAQcHBwoIChMKChMoGhYaKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCj/wAARCAAGABQDASIAAhEBAxEB/8QAFgABAQEAAAAAAAAAAAAAAAAAAAYF/8QAIBAAAgIBAwUAAAAAAAAAAAAAAQIABAMFBhETIiQxYf/EABUBAQEAAAAAAAAAAAAAAAAAAAID/8QAGBEBAQEBAQAAAAAAAAAAAAAAAQARAjH/2gAMAwEAAhEDEQA/ALvcGjWrubIqWziZW5BBMpto08i6X0myA5Vxnv8AsRI9+SC1NHoW1p+RYV3LE8jn1ERAhssv/9k=","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#434343","foreground":"#fff","population":4.93,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#7b0836","foreground":"#fff","population":0,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#7a7978","foreground":"#fff","population":9.93,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#ceceb9","foreground":"#000","population":9.69,"title":"#000"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#fcd4e4","foreground":"#000","population":0.01,"title":"#000"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#7a7978","foreground":"#fff","population":9.93,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#ee1069","foreground":"#fff","population":0,"title":"#fff"}}},"mimeType":"image/webp","originalFilename":"Gut_Cover.webp","path":"images/8qqycr4y/production/371d397e2a77e88437f51e044795f706da09991e-1920x614.webp","sha1hash":"371d397e2a77e88437f51e044795f706da09991e","size":141320,"uploadId":"JAfjpN0kTPZvzeOX7Ty0JYbiDOUJcogv","url":"https://cdn.sanity.io/images/8qqycr4y/production/371d397e2a77e88437f51e044795f706da09991e-1920x614.webp","id":"image-371d397e2a77e88437f51e044795f706da09991e-1920x614-webp","parent":null,"children":["29acd62a-46eb-5ce8-a632-b5135e4301ef"],"internal":{"type":"SanityImageAsset","contentDigest":"7139766842307b0cfd3580fd3105bb23","counter":2154,"owner":"gatsby-source-sanity"}}},"publishedAt":"2024-06-04T17:04:00.000Z","slug":{"_type":"slug","current":"irritable-bowel-syndrome-women"},"status":"production","title":"The ABCs of IBS in Women","topics":[{"_id":"8664d8cf-2fa2-4c51-9d6b-074f22301918","_type":"topic","_createdAt":"2024-06-04T17:05:00Z","_rev":"ILsS2cN0alb3ovipFKIN7o","_updatedAt":"2024-06-04T17:05:00Z","slug":{"_type":"slug","current":"digestive-health"},"title":"Digestive Health","id":"5c4ee437-94cb-5e48-ac8e-428d6a828070","parent":null,"children":[],"internal":{"type":"SanityTopic","contentDigest":"480597d2f0dbbaded552f83a4c295e53","counter":2671,"owner":"gatsby-source-sanity"}}],"updatedAt":"2025-11-25T16:51:00.000Z"},"metaInformation":{"_type":"metaCard","metaDescription":"Discover how to manage IBS, a common condition affecting up to 15% of women. 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be honest, UTIs (urinary tract infections) are a total pain."}],"markDefs":[],"style":"normal"},{"_key":"23eb3a89e4da","_type":"block","children":[{"_key":"9606030602530","_type":"span","marks":[],"text":"Showing up out of nowhere, like a nosy neighbor knocking at your front door without warning or welcome, UTIs can make life pretty miserable. They’re painful, they’re annoying, and, yep, sometimes they’re embarrassing. But just because UTIs have symptoms that can affect your genitals or cause incontinence, there is nothing shameful about getting a UTI, and it’s important to remember you haven’t done anything wrong. UTIs are common, especially if you have a vagina, and over half of all women and people assigned female at birth (AFAB) will experience a UTI once in their lifetimes. And 20-40% of that population will have two or more UTIs—or even become chronic sufferers. Thankfully, if diagnosed and treated after experiencing the first symptoms (generally with a short course of oral antibiotics), a UTI is easy to quell before it spreads from the bladder or urethra to the kidneys and becomes a more serious infection that is more difficult to treat."}],"markDefs":[],"style":"normal"},{"_key":"393411402c62","_type":"block","children":[{"_key":"c99dee33f75a0","_type":"span","marks":[],"text":"That’s where Tia comes in. Our providers offer personalized women’s health care , from gynecology to primary care, mental health, and wellness—including UTI appointments where you’ll get treatment ASAP *and* build a plan to prevent them."}],"markDefs":[],"style":"normal"},{"_key":"fda373508a19","_type":"cta","backgroundColor":"bccream","text":[{"_key":"a1b24f31698b","_type":"block","children":[{"_key":"ec84c7c78fce","_type":"span","marks":[],"text":"Experiencing UTI symptoms? Join Tia's membership and schedule an appointment."}],"markDefs":[],"style":"normal"},{"_key":"ab344a96d11a","_type":"buttonBlock","items":[{"_key":"831bdee3c59a","_type":"singleButton","linkCta":"Join Tia","linkType":"button","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}]}]},{"_key":"bbc1b6497175","_type":"sectionHeader","title":"What is a UTI? What are the symptoms?"},{"_key":"ed99024a2e53","_type":"block","children":[{"_key":"048bee42e1b20","_type":"span","marks":[],"text":"At its simplest, a UTI is an infection in any part of the urinary system, which includes the urethra, bladder, ureters, and kidneys. The vast majority of infections are caused by "},{"_key":"048bee42e1b21","_type":"span","marks":["em"],"text":"E. coli"},{"_key":"048bee42e1b22","_type":"span","marks":[],"text":" bacteria and involve the bladder (cystitis) or urethra (urethritis), but left untreated, a UTI can spread to the kidneys (pyelonephritis) and cause a more dangerous infection that’s more difficult to treat."}],"markDefs":[],"style":"normal"},{"_key":"620da6b5546e","_type":"block","children":[{"_key":"d21df186476c0","_type":"span","marks":["strong"],"text":"Symptoms"},{"_key":"d21df186476c1","_type":"span","marks":[],"text":" of a UTI can sometimes be vague—generalized aches, chills, low-grade fever—but a UTI is almost always accompanied by a burning or painful sensation when urinating (dysuria), urinating often but only passing small amounts of urine (frequency), or having a strong urge to urinate that doesn’t go away, even when your bladder is empty (urgency)."}],"markDefs":[],"style":"normal"},{"_key":"50518a070125","_type":"block","children":[{"_key":"6345b465cf810","_type":"span","marks":[],"text":"Other symptoms might include:"}],"markDefs":[],"style":"normal"},{"_key":"a1c6c49b588b","_type":"block","children":[{"_key":"7b12aba23a590","_type":"span","marks":[],"text":"Pelvic pain and pressure in the lower abdomen or groin area."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f8f31c444bda","_type":"block","children":[{"_key":"8fd82dbe15c50","_type":"span","marks":[],"text":"Urine that appears cola-colored or is tinged red or pink."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b1f1c23f8bf4","_type":"block","children":[{"_key":"c190d1e78de10","_type":"span","marks":[],"text":"Urine that appears cloudy."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b21e3d51be6a","_type":"block","children":[{"_key":"c60e2d07bfc60","_type":"span","marks":[],"text":"Strong-smelling urine."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"62bc95235938","_type":"block","children":[{"_key":"3def1469d1be0","_type":"span","marks":[],"text":"Any person can get a UTI, but you’re most likely to experience a UTI if you have a vagina. That’s because the urethra in women and AFAB is shorter, which makes it easier for bacteria to enter the urinary tract and travel to the bladder, and because the urethra is closer to the rectum, where "},{"_key":"3def1469d1be1","_type":"span","marks":["em"],"text":"E. coli"},{"_key":"3def1469d1be2","_type":"span","marks":[],"text":" bacteria tend to colonize. So the greatest risk factor for getting a UTI is beyond your control: being a woman or AFAB."}],"markDefs":[],"style":"normal"},{"_key":"8f5fd55ffb97","_type":"block","children":[{"_key":"271d9b2dad440","_type":"span","marks":[],"text":"Other important "},{"_key":"271d9b2dad441","_type":"span","marks":["strong"],"text":"risk factors"},{"_key":"271d9b2dad442","_type":"span","marks":[],"text":" for UTIs:"}],"markDefs":[],"style":"normal"},{"_key":"0f7b6dd79c77","_type":"block","children":[{"_key":"9a4dff0f0a270","_type":"span","marks":[],"text":"Sexual activity, including self-pleasure and pleasure at the hands of a partner. (Remember, dirty fingers and sex toys can introduce bacteria into your urinary tract and cause infection.)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"61be6e53deec","_type":"block","children":[{"_key":"418b791f089b0","_type":"span","marks":[],"text":"Not wiping from front to back"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"47174bad7495","_type":"block","children":[{"_key":"54bc749a18700","_type":"span","marks":[],"text":"A previous UTI."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3dbb3046a8ea","_type":"block","children":[{"_key":"ae62431b02630","_type":"span","marks":[],"text":"Pregnancy."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"78ffc9b54d82","_type":"block","children":[{"_key":"64a54882c7c20","_type":"span","marks":[],"text":"Age (older women get twice as many UTIs as their younger counterparts)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fc3cabe72c06","_type":"block","children":[{"_key":"fbf65f09911c0","_type":"span","marks":[],"text":"Certain types of birth control, especially diaphragms and spermicidal agents."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"743a81c9ab32","_type":"block","children":[{"_key":"b8d27dc8fb700","_type":"span","marks":[],"text":"Menopause."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0fac3ede63b9","_type":"block","children":[{"_key":"46fcc2e852630","_type":"span","marks":[],"text":"Blockages or structural problems in the urinary tract, such as kidney stones."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0647cfb71dd3","_type":"block","children":[{"_key":"57466f3c77380","_type":"span","marks":[],"text":"A suppressed immune system. (Diabetes and other chronic diseases can impair the body’s natural ability to fight infections.)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"55657039a7bc","_type":"sectionHeader","title":"How to treat a UTI (and When Should I See a Doctor?)"},{"_key":"4cbedbbb355f","_type":"block","children":[{"_key":"5afa5e38137b0","_type":"span","marks":[],"text":"While you might be tempted to “tough it out” when experiencing early UTIsymptoms, it’s important to seek medical attention and treatment as soon as possible. (And Tia’s team of clinical experts are here to help—our "},{"_key":"56ae189d11ac","_type":"span","marks":["971051c7396f"],"text":"UTI appointment"},{"_key":"44b04d010250","_type":"span","marks":[],"text":" include testing (a quick and easy urine analysis), a personalized treatment plan, and expert guidance for preventing future infections.)"}],"markDefs":[{"_key":"971051c7396f","_type":"internalLink","linkType":"text","reference":{"_ref":"5dc6f871-a243-459e-8f06-43f0af3d8915","_type":"reference"}}],"style":"normal"},{"_key":"10c4a591646e","_type":"block","children":[{"_key":"445abc77e56a0","_type":"span","marks":[],"text":"Uncomplicated UTIs are generally treated with a short course (3-7 days) of oral antibiotics, such as trimethoprim and sulfamethoxazole/TMP-SMX (Bactrim), Fosfomycin (Monurol), Nitrofurantoin (Macrobid), or Ciprofloxacin (Cipro)."}],"markDefs":[],"style":"normal"},{"_key":"d510fa14aec6","_type":"block","children":[{"_key":"8e363087e7900","_type":"span","marks":[],"text":"It is also important to recognize symptoms that might indicate that a UTI has spread to the kidneys, since this type of infection requires more urgent attention and treatment. If you experience more severe symptoms, like fever, chills, lower back/flank pain, or nausea and vomiting, seek urgent medical care. Simple UTIs are rarely dangerous, but pyelonephritis can cause kidney damage and often requires hospitalization and IV antibiotics."}],"markDefs":[],"style":"normal"},{"_key":"3bfc46d90be4","_type":"block","children":[{"_key":"eabe04b1a7f50","_type":"span","marks":[],"text":"Unfortunately, 20-40% of women will experience recurrent UTIs, which is roughly defined as having two infections within six months or three infections within a year. If you have frequent UTIs, your healthcare provider may recommend taking a longer course of antibiotics—six months or more—or taking a single dose of antibiotics after sex if your UTIs are related to sexual activity."}],"markDefs":[],"style":"normal"},{"_key":"d989edaa2d9d","_type":"block","children":[{"_key":"313ed89f123a0","_type":"span","marks":[],"text":"It’s worth mentioning here that even a simple UTI might not be so simple to recognize or treat in certain populations:"}],"markDefs":[],"style":"normal"},{"_key":"d4b118109d0c","_type":"block","children":[{"_key":"124bdb2fdd711","_type":"span","marks":["strong"],"text":"Older women"},{"_key":"124bdb2fdd712","_type":"span","marks":[],"text":" (65+) are twice as likely to experience UTIs, and left untreated, UTIs in this patient population can cause sepsis, a dangerous blood infection. Since symptoms in older women can often be confused with other illnesses, including delirium or sudden confusion, it’s especially important for older women or their caregivers to seek medical attention at the first signs of a UTI."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"068832c3d511","_type":"block","children":[{"_key":"fe8044068b7a1","_type":"span","marks":["strong"],"text":"Perimenopausal, menopausal, or postmenopausal women "},{"_key":"fe8044068b7a2","_type":"span","marks":[],"text":"are also more likely to get UTIs. Why? During perimenopause, the ovaries produce less estrogen and progesterone, hormones that play an important role in urogenital, reproductive, and sexual health. These fluctuations in hormone levels change the lining of the vagina and bladder, reducing natural defense mechanisms against UTIs. If you’re in perimenopause, menopause, or postmenopause, your care provider might recommend starting topical vaginal estrogen therapy to reduce your chances of getting UTIs. It is a safe strategy that can be highly effective in preventing UTIs."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"faee18e9653b","_type":"block","children":[{"_key":"960c054005b11","_type":"span","marks":["strong"],"text":"Pregnancy"},{"_key":"960c054005b12","_type":"span","marks":[],"text":" can also make a woman more prone to UTIs. Thankfully, there are several antibiotics that are safe and effective to use while pregnant, including Nitrofurantoin and Cephalexin."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7b7cbf9586d3","_type":"sectionHeader","title":"Home Remedies for UTIs"},{"_key":"f8303554d2bf","_type":"block","children":[{"_key":"8c3fcfe61cf70","_type":"span","marks":[],"text":"While antibiotics remain the gold standard for treating UTIs, many women are naturally curious about home remedies that might help prevent infections or relieve the pain and discomfort associated with them."}],"markDefs":[],"style":"normal"},{"_key":"73e703566ed8","_type":"block","children":[{"_key":"2d60f3bae7eb0","_type":"span","marks":[],"text":"Phenazopyridine hydrochloride (like Azo) might relieve symptoms related to pain, burning, itching, and urgency. But don’t fret if your urine turns a bright reddish-orange color! This common side effect is harmless (if somewhat wild to witness), but it can stain clothing and bedding."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"feea51c13b0c","_type":"block","children":[{"_key":"236e3b76e3d20","_type":"span","marks":[],"text":"Methenamine and sodium salicylate work in unison to slow bacterial growth along the urinary tract and, in theory, might help lessen the burden of disease and symptoms. However, check warning labels carefully, as this home remedy is contraindicated in people who are allergic to aspirin, on a low-sodium diet, or taking anticoagulants."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3d2cdda5decb","_type":"block","children":[{"_key":"ea7e36809ed00","_type":"span","marks":[],"text":"You can also take NSAIDS (aspirin, ibuprofen, naproxen) and acetaminophen (Tylenol) as directed for general relief from UTI symptoms."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6d2f01813abc","_type":"block","children":[{"_key":"1a926a192af70","_type":"span","marks":[],"text":"Drinking plenty of water, avoiding drinks that can irritate your bladder (alcohol, coffee, soft drinks), using a heating pad, wearing loose-fitting clothing, and resting (yeah, right!) are also commonly recommended strategies for finding some pain relief and comfort from UTIs."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ff31623b3d81","_type":"block","children":[{"_key":"b5c31214e82d0","_type":"span","marks":[],"text":"That said, while home remedies are generally safe and well-tolerated, they likely won’t treat the underlying infection or offer more than temporary relief. As always, it is best practice to contact your healthcare provider with questions or concerns about your health. Better to ask a professional rather than to seek armchair medical advice online or from a bestie…unless your bestie happens to be a board-certified primary care physician or OB/GYN!"}],"markDefs":[],"style":"normal"},{"_key":"682cace939ce","_type":"sectionHeader","title":"How to prevent future UTIs"},{"_key":"cb7960cc0037","_type":"block","children":[{"_key":"297802777f0f0","_type":"span","marks":[],"text":"If it is true that “an ounce of prevention is worth a pound of cure”, then this age-old adage definitely applies to UTIs. Thankfully, there are many common sense steps women and AFAB can take to prevent a UTI before it ever takes hold."}],"markDefs":[],"style":"normal"},{"_key":"328ba9199a15","_type":"block","children":[{"_key":"7644d9fbbaa10","_type":"span","marks":[],"text":"Stay hydrated. Drink plenty of clear liquids, especially water. Urinating more frequently flushes bacteria from the urinary tract."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2adbe22deefd","_type":"block","children":[{"_key":"9149cc18ebb20","_type":"span","marks":[],"text":"Practice proper hygiene. Always wipe from front to back after urinating or having a bowel movement."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0f71dd6b289f","_type":"block","children":[{"_key":"b9de202357b10","_type":"span","marks":[],"text":"Urinate after having sex."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2dee7fcc3974","_type":"block","children":[{"_key":"48e2d2e598a90","_type":"span","marks":[],"text":"Avoid irritating feminine products, including douches, deodorant sprays, and powders."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"786d6987111e","_type":"block","children":[{"_key":"ffdca4958f460","_type":"span","marks":[],"text":"Switch birth control methods. Diaphragms and condoms treated with spermicide can promote bacterial growth. And remember: if you use lubricant, make sure it’s water-based."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8775b42517ba","_type":"block","children":[{"_key":"81d3b2c2e8c10","_type":"span","marks":[],"text":"Try drinking cranberry juice or taking probiotics. Studies are conflicting, but evidence suggests that antioxidants in cranberries may prevent bacteria from sticking to the walls of the urinary tract. Additionally, probiotics might help support the body’s natural defense mechanisms."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"deba64854be7","_type":"block","children":[{"_key":"d613788dc9b40","_type":"span","marks":[],"text":"Change clothing. Loose-fitting clothing and cotton underwear prevent moisture from building up around your urethra."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3ac354bf6e44","_type":"block","children":[{"_key":"16894ab1e4580","_type":"span","marks":[],"text":"If you are perimenopausal, menopausal, or postmenopausal, consider consulting your physician and starting topical vaginal estrogen therapy."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"43570ce61a2a","_type":"block","children":[{"_key":"6d89dac594be0","_type":"span","marks":[],"text":"UTIs are an uncomfortable fact of life for many women and AFAB. Thankfully, most UTIs are uncomplicated bladder infections that are easily diagnosed with a urine test and treated with a short course of oral antibiotics. Symptoms usually include pain or discomfort while urinating, urinary frequency, and/or urinary urgency, but lower abdominal pain, changes in urine color or odor, and flu-like symptoms are also commonplace. Additionally, there are several simple lifestyle measures everyone can take to decrease the risk of experiencing UTIs, including staying hydrated, practicing proper hygiene, and urinating after sex."}],"markDefs":[],"style":"normal"},{"_key":"51bd6681a9bb","_type":"block","children":[{"_key":"330d66cda7870","_type":"span","marks":[],"text":"Even if few people think much about urinary health before a problem arises, urogenital, sexual, and reproductive health deserves to be talked about, honored, and celebrated without shame or embarrassment alongside all other healthcare topics. Tia gives you permission to start that conversation. And to keep talking."}],"markDefs":[],"style":"normal"},{"_key":"252964c2df86","_type":"cta","backgroundColor":"bccream","text":[{"_key":"b555eaa303e9","_type":"block","children":[{"_key":"78d42947adb0","_type":"span","marks":[],"text":"Experiencing UTI symptoms? 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Experiencing painful sex once or occasionally is ‘normal’ and usually due to, well, the occasion: inadequate foreplay, a new position, a larger partner. But for some women, painful sex is a chronic and persistent problem that can have far-reaching consequences on sexual, emotional, and mental health as well as relationships."}],"markDefs":[],"style":"normal"},{"_key":"dbb241b32f18","_type":"block","children":[{"_key":"e941dd7d07600","_type":"span","marks":[],"text":"Among other things, painful intercourse can lead to decreased sexual satisfaction, fear and avoidance of sex, psychological stress and feelings of inadequacy, negative feelings about body image, and a decrease in sexual desire and arousal. How does painful sex affect relationships? Even strong couples with healthy communication habits might find a breakdown in communication over this issue and experience relationship tension that builds to become emotional disconnect and discord."}],"markDefs":[],"style":"normal"},{"_key":"6dc5eedcfab9","_type":"block","children":[{"_key":"8adf2d7844e90","_type":"span","marks":[],"text":"Painful intercourse, also known as dyspareunia, is a condition characterized by persistent or recurrent pain experienced by women during sexual activity, including non-penetrative sex. This discomfort can occur before, during, or after sexual activity and can vary in intensity. Pain is never fun, and this is especially true when it accompanies an activity meant to be pleasurable. Sex "},{"_key":"8adf2d7844e91","_type":"span","marks":["em"],"text":"should"},{"_key":"8adf2d7844e92","_type":"span","marks":[],"text":" feel good for men AND women. And just because painful sex is common, women don’t have to accept it as their norm."}],"markDefs":[],"style":"normal"},{"_key":"1be54ca11cdf","_type":"block","children":[{"_key":"b4d5f9147fa80","_type":"span","marks":[],"text":"Painful sex usually has an identifiable cause and usually is treatable. So, if you’re experiencing pain or discomfort during sex, it’s important to seek support and treatment. A thorough history and exam can often reveal a cause and illuminate a treatment. Sex can still be quite stigmatized and talking openly about this subject still proves to be an uncomfortable exercise for many people, women and men alike. But it doesn’t have to be."}],"markDefs":[],"style":"normal"},{"_key":"efc0533ea795","_type":"sectionHeader","title":"Potential cause of pain during sex"},{"_key":"da4cc2726a64","_type":"block","children":[{"_key":"b6159d4fb5e70","_type":"span","marks":[],"text":"Painful sex can have various causes, and it’s important to identify (along with your care provider) any underlying factors that might shape treatment. Here are some of the most common physical and psychological causes of painful sex:"}],"markDefs":[],"style":"normal"},{"_key":"eb53913f8131","_type":"block","children":[{"_key":"32167e80597a0","_type":"span","marks":[],"text":"Vaginal Dryness"}],"markDefs":[],"style":"h5"},{"_key":"346cca286f88","_type":"block","children":[{"_key":"89e122793781","_type":"span","marks":[],"text":"Dryness is one of the most common causes of painful sex, and it can occur at any age for many reasons. Besides making sex uncomfortable, dryness can also disrupt the vagina’s balance of healthy and unhealthy bacteria, which can cause an infection. (This also causes painful sex.) Dryness happens for several reasons, including inadequate foreplay, decreased sexual desire, medications, relationship problems, anxiety, breastfeeding, and birth control. Perimenopause and menopause deserve special consideration since these phases are when the majority of women experience painful sex. The reason? The significant hormonal drop (especially estrogen) during this time in life can cause vaginal atrophy or thinning and shrinkage of vaginal tissue."}],"markDefs":[],"style":"normal"},{"_key":"a5f099a5daac","_type":"block","children":[{"_key":"48949d13b1690","_type":"span","marks":[],"text":"Infection"}],"markDefs":[],"style":"h5"},{"_key":"fe0b8747a965","_type":"block","children":[{"_key":"e06c9eb323410","_type":"span","marks":["6d6c82637994"],"text":"Many STIs"},{"_key":"c0169b478602","_type":"span","marks":[],"text":" can cause pain with sex, including chlamydia, gonorrhea, and genital herpes. Other common vaginal infections include: "},{"_key":"3c7918edb1bd","_type":"span","marks":["10d524a52876"],"text":"yeast infections, bacterial vaginosis (BV)"},{"_key":"36ab4920324d","_type":"span","marks":[],"text":", "},{"_key":"c2a0ac659343","_type":"span","marks":["4954a07e4c92"],"text":"UTIs"},{"_key":"57b39aba568f","_type":"span","marks":[],"text":", and vaginitis. "},{"_key":"d6b2300fcb81","_type":"span","marks":["d3b380db9fea"],"text":"If you have an infection"},{"_key":"fc17fb8106a5","_type":"span","marks":[],"text":", you will likely have other symptoms, such as discharge and itching."}],"markDefs":[{"_key":"10d524a52876","_type":"internalLink","linkType":"text","reference":{"_ref":"8f0a7f7b-d178-4966-82ff-39f310b2b589","_type":"reference"}},{"_key":"4954a07e4c92","_type":"internalLink","linkType":"text","reference":{"_ref":"5dc6f871-a243-459e-8f06-43f0af3d8915","_type":"reference"}},{"_key":"d3b380db9fea","_type":"internalLink","linkType":"text","reference":{"_ref":"911870d8-c589-4a4d-8d3a-af2b05ba6b77","_type":"reference"}},{"_key":"6d6c82637994","_type":"internalLink","linkType":"text","reference":{"_ref":"58606dd2-9b5e-4fc1-bb3f-f1b5d0da143d","_type":"reference"}}],"style":"normal"},{"_key":"bc6952978d6d","_type":"block","children":[{"_key":"ff38622731150","_type":"span","marks":[],"text":"Endometriosis"}],"markDefs":[],"style":"h5"},{"_key":"4dd286bbca22","_type":"block","children":[{"_key":"0ec6a5e757bf0","_type":"span","marks":[],"text":"Endometriosis is caused by uterine (endometrial) tissue growing outside of the uterus in other areas of the pelvis, such as the ovaries and fallopian tubes. Endometriosis often makes sexual activity painful, especially with deep penetration."}],"markDefs":[],"style":"normal"},{"_key":"f70df7ef9b1d","_type":"block","children":[{"_key":"979d09e8cbbd","_type":"span","marks":[],"text":"Vulvodynia"}],"markDefs":[],"style":"h5"},{"_key":"f1da8742a2df","_type":"block","children":[{"_key":"c264a2fd8a800","_type":"span","marks":[],"text":"Some women suffer from chronic pain of the vulva, which can cause generalized burning, stinging, soreness, itching and, of course, painful sex."}],"markDefs":[],"style":"normal"},{"_key":"72729de889d6","_type":"block","children":[{"_key":"1bc91c77b89f0","_type":"span","marks":[],"text":"Vaginismus"}],"markDefs":[],"style":"h5"},{"_key":"296d0c21b10d","_type":"block","children":[{"_key":"09105200d9160","_type":"span","marks":[],"text":"Vaginismus occurs when the muscles surrounding and inside the vagina spasm. Sexual activity often triggers a tightening of the vagina that makes penetration difficult and painful."}],"markDefs":[],"style":"normal"},{"_key":"47e5d64c2ddf","_type":"block","children":[{"_key":"2046dda656020","_type":"span","marks":[],"text":"Vaginal Injury"}],"markDefs":[],"style":"h5"},{"_key":"7281edff7ceb","_type":"block","children":[{"_key":"cafdb1f66bc10","_type":"span","marks":[],"text":"Injury or previous vaginal trauma can cause painful sex. Some common injuries include: recent childbirth, pelvic surgery, past sexual trauma, and accidents."}],"markDefs":[],"style":"normal"},{"_key":"5cc28baef0bd","_type":"block","children":[{"_key":"2632fb8c134a0","_type":"span","marks":[],"text":"Interstitial Cystitis"}],"markDefs":[],"style":"h5"},{"_key":"48cd0c9879ff","_type":"block","children":[{"_key":"62f0aa8ede880","_type":"span","marks":[],"text":"Also known as painful bladder syndrome, this condition often causes symptoms that mimic a bladder infection, including pain, pressure, and frequent urge to urinate."}],"markDefs":[],"style":"normal"},{"_key":"413cb3e5e743","_type":"block","children":[{"_key":"ad907a8efd1c0","_type":"span","marks":[],"text":"Pelvic Floor Dysfunction"}],"markDefs":[],"style":"h5"},{"_key":"120408c38242","_type":"block","children":[{"_key":"d42bdc6b5cd10","_type":"span","marks":[],"text":"Weakened or damaged pelvic floor muscles – the ones you tighten when trying to stop urinating suddenly – can cause several annoying and unwanted conditions, including incontinence, constipation, pelvic organ prolapse, and painful sex."}],"markDefs":[],"style":"normal"},{"_key":"bc758e36e608","_type":"block","children":[{"_key":"11dbbe0606ef0","_type":"span","marks":[],"text":"Ovarian Cysts and Uterine Fibroids"}],"markDefs":[],"style":"h5"},{"_key":"b353f8d19ff9","_type":"block","children":[{"_key":"a99c41f4bf340","_type":"span","marks":[],"text":"These "},{"_key":"e02ae778fa2d","_type":"span","marks":["8bd3bd4a3483"],"text":"fluid-filled sacs"},{"_key":"1b4334041c7d","_type":"span","marks":[],"text":" on the ovaries and non-cancerous growths on the uterus can cause heavy periods, pelvic pain and pressure, and painful intercourse."}],"markDefs":[{"_key":"8bd3bd4a3483","_type":"internalLink","linkType":"text","reference":{"_ref":"47ec45bc-c4b1-4d19-9561-72aa889eb8a7","_type":"reference"}}],"style":"normal"},{"_key":"d05c861ec2ae","_type":"block","children":[{"_key":"defbf305627e0","_type":"span","marks":[],"text":"Past Trauma"}],"markDefs":[],"style":"h5"},{"_key":"9c77743b380e","_type":"block","children":[{"_key":"022d583c35c80","_type":"span","marks":[],"text":"In response to past physical and sexual trauma, some women develop an increased sensitivity to pain or coping mechanisms, like muscle tightening, to counteract intrusive thoughts and feelings associated with the trauma they experienced. Clearly, this can make sex difficult and painful in physical and emotional ways, but many trauma survivors find comfort in talking to a therapist or counselor about their experiences and symptoms."}],"markDefs":[],"style":"normal"},{"_key":"e887a5868211","_type":"block","children":[{"_key":"f10a7a34e7930","_type":"span","marks":[],"text":"Stress and Anxiety"}],"markDefs":[],"style":"h5"},{"_key":"b05859081f04","_type":"block","children":[{"_key":"2c5e6ee2a8ae0","_type":"span","marks":[],"text":"Emotional stress and anxiety can lead to muscle tension and pain with intercourse."}],"markDefs":[],"style":"normal"},{"_key":"781e8df9c86c","_type":"block","children":[{"_key":"18ed75bbd4080","_type":"span","marks":[],"text":"Relationship Issues"}],"markDefs":[],"style":"h5"},{"_key":"cdac62cf1fbf","_type":"block","children":[{"_key":"77ef35a51d720","_type":"span","marks":[],"text":"Unresolved conflicts and emotional distance between partners can contribute to dyspareunia."}],"markDefs":[],"style":"normal"},{"_key":"b2087cc14246","_type":"block","children":[{"_key":"e86eca8f22c90","_type":"span","marks":[],"text":"Medical Treatments"}],"markDefs":[],"style":"h5"},{"_key":"93e93fad5cbe","_type":"block","children":[{"_key":"f3c25a3095120","_type":"span","marks":[],"text":"Certain medical treatments, such as radiation and chemotherapy, can have side effects that impact sexual function and cause pain."}],"markDefs":[],"style":"normal"},{"_key":"5df6e7b606e0","_type":"block","children":[{"_key":"4b2a9def4d300","_type":"span","marks":[],"text":"Allergies or Irritants"}],"markDefs":[],"style":"h5"},{"_key":"91415383c9d9","_type":"block","children":[{"_key":"8317e3691f630","_type":"span","marks":[],"text":"Allergic reactions to products like latex condoms, spermicide, or feminine products can cause irritation and pain during sex."}],"markDefs":[],"style":"normal"},{"_key":"4bd35459bfe5","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"73e1a39668e6","_type":"block","children":[{"_key":"a46cd3b6c85e","_type":"span","marks":[],"text":"If you're experiencing pain during sex, sign up for Tia's membership and schedule an appointment at a Tia clinic near you!"}],"markDefs":[],"style":"normal"},{"_key":"3b7f1282c322","_type":"buttonBlock","items":[{"_key":"17cc714fbea6","_type":"singleButton","linkCta":"Join Tia","linkType":"button","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}]}]},{"_key":"fa800995398d","_type":"sectionHeader","title":"Ways to prevent pain during sex"},{"_key":"1bc4aca2a0c0","_type":"block","children":[{"_key":"8cd12cd190c80","_type":"span","marks":[],"text":"The list of potential causes of painful sex is long. Thankfully, there are just as many strategies women can use to prepare their bodies and minds for sex beforehand. Great sex requires instinct and creativity, but it also demands planning and routine. It requires foreplay AND forethought. And this is especially true if one partner is experiencing pain or discomfort with sex. So, let’s look at a few strategies that might be useful in preparing for sex while also exploring lifestyle and health tips to promote overall sexual health and wellness."}],"markDefs":[],"style":"normal"},{"_key":"b09bdd9f9df7","_type":"block","children":[{"_key":"6fb85377bbc10","_type":"span","marks":[],"text":"Prioritize Foreplay"}],"markDefs":[],"style":"h5"},{"_key":"f1f74f403a8c","_type":"block","children":[{"_key":"c5b75f31f56b0","_type":"span","marks":[],"text":"Surveys say both women and men want more foreplay. So, this is a great place to start! While there is no perfect amount or type of foreplay, sex experts generally recommend 20-30 minutes of foreplay – kissing, touching, cuddling, sharing a fantasy, sensual massage, or really any words or actions that promote safety, intimacy, and connection."}],"markDefs":[],"style":"normal"},{"_key":"43ddb51c0502","_type":"block","children":[{"_key":"8f4fcc8daf6d0","_type":"span","marks":[],"text":"Lubricate"}],"markDefs":[],"style":"h5"},{"_key":"46f0cebaf1a2","_type":"block","children":[{"_key":"544c391626e00","_type":"span","marks":[],"text":"Buy a good lube and use it. Lots of it. Early and often. Not only can lubricant be a fun part of foreplay, it also reduces friction and enhances sensitivity and comfort. Water-based and silicone-based lubes are most popular, but there are oil-based and hybrid models that work wonders as well. Do your research and be picky. Your body and sex life deserve it!"}],"markDefs":[],"style":"normal"},{"_key":"b366038a9c86","_type":"block","children":[{"_key":"dc82c8ea21490","_type":"span","marks":[],"text":"Strengthen Your Pelvic Floor"}],"markDefs":[],"style":"h5"},{"_key":"e159cbb8ffb2","_type":"block","children":[{"_key":"82c61572ec980","_type":"span","marks":[],"text":"Pelvic floor exercises, like kegels, can strengthen and tone muscles in the pelvic region, which can reduce pain during sex. Even some fitness classes are paying more attention to exercising the pelvic floor. As always, check with your physician before beginning an exercise routine."}],"markDefs":[],"style":"normal"},{"_key":"7caf1eb80908","_type":"block","children":[{"_key":"0ec3ec8458bb","_type":"span","marks":[],"text":"Relax"}],"markDefs":[],"style":"h5"},{"_key":"8defe9b58963","_type":"block","children":[{"_key":"6c2b697da7f20","_type":"span","marks":[],"text":"Or at least try to. Put away your phone and to-do list and focus on being present with your partner. Take a bath or shower, listen to music, practice mindfulness, or do whatever works for you to put your body and mind in a more relaxed, less distracted place."}],"markDefs":[],"style":"normal"},{"_key":"435c3710bf3d","_type":"block","children":[{"_key":"19c7e3aef9fe0","_type":"span","marks":[],"text":"Communicate Openly and Honestly"}],"markDefs":[],"style":"h5"},{"_key":"251fad77d1b3","_type":"block","children":[{"_key":"fd4416d566760","_type":"span","marks":[],"text":"One of the best ways to improve a sexual experience is by talking openly with your partner about your feelings, concerns, and anxieties related to painful sex. Establishing a supportive and understanding environment is crucial and checking in during sex is important too."}],"markDefs":[],"style":"normal"},{"_key":"2f3a63447001","_type":"block","children":[{"_key":"9893eb5542cd0","_type":"span","marks":[],"text":"Experiment with Positions"}],"markDefs":[],"style":"h5"},{"_key":"9203b0723b72","_type":"block","children":[{"_key":"d2cb5aa1d0910","_type":"span","marks":[],"text":"Certain sexual positions may be more comfortable than others. Experimenting with positions that allow for better control over depth and angle can help minimize pain."}],"markDefs":[],"style":"normal"},{"_key":"a16202ffee38","_type":"block","children":[{"_key":"42c60fb42bce0","_type":"span","marks":[],"text":"Explore Non-penetrative Intimacy"}],"markDefs":[],"style":"h5"},{"_key":"da7cbb667420","_type":"block","children":[{"_key":"c774913e4a4b0","_type":"span","marks":[],"text":"There are so many ways to give and receive pleasure during sex that don’t involve penetration. Study up! And go for it. This can help maintain emotional and physical connection without causing pain."}],"markDefs":[],"style":"normal"},{"_key":"54c867098e5b","_type":"sectionHeader","title":"When to see a doctor"},{"_key":"e6b1c40e7246","_type":"block","children":[{"_key":"6c76ddf6c90f0","_type":"span","marks":[],"text":"Seeking medical advice and understanding for painful sex is a critical and proactive step toward identifying, addressing, and resolving underlying causes of pain. Medical professionals can also rule out any serious conditions and provide education about sexual health, anatomy, and contributing factors."}],"markDefs":[],"style":"normal"},{"_key":"7e623b8e92a3","_type":"block","children":[{"_key":"812926ab8a3a0","_type":"span","marks":[],"text":"Diagnosing and treating painful sex involves a comprehensive approach that includes a thorough medical history, a physical exam (including a pelvic exam), and additional testing. Besides taking a detailed sexual health history and performing a pelvic exam, your provider might order blood tests (to assess hormonal imbalances), take vaginal cultures (to rule out an infection), do imaging studies (to assess pelvic organ health), order allergy testing, and recommend a procedure to evaluate and treat endometriosis."}],"markDefs":[],"style":"normal"},{"_key":"711aaf5d391f","_type":"block","children":[{"_key":"1b56981a7219","_type":"span","marks":[],"text":"Treatment for painful sex depends on the underlying cause(s), and many women who experience pain with sex follow a personalized treatment plan that involves a combination of strategies, potentially including:"}],"markDefs":[],"style":"normal"},{"_key":"5bae7b401405","_type":"block","children":[{"_key":"704dabce7107","_type":"span","marks":[],"text":"Topical Treatments"}],"markDefs":[],"style":"h5"},{"_key":"ebf19eefa2a3","_type":"block","children":[{"_key":"84c694a3a95e0","_type":"span","marks":[],"text":"Vaginal estrogen therapy might improve dryness in perimenopausal and menopausal women while lubrication can be helpful for any woman experiencing dyspareunia. Lidocaine or another prescribed numbing agent may be recommended to alleviate pain and discomfort, especially for women suffering from vulvodynia or a vaginal injury."}],"markDefs":[],"style":"normal"},{"_key":"e8684ce92ae1","_type":"block","children":[{"_key":"113dbca91f4b0","_type":"span","marks":[],"text":"Antibiotic or Antifungal Medications"}],"markDefs":[],"style":"h5"},{"_key":"095905fa532d","_type":"block","children":[{"_key":"df0aae61c0990","_type":"span","marks":[],"text":"If an infection is identified, antibiotics or antifungals might be prescribed to treat the underlying cause."}],"markDefs":[],"style":"normal"},{"_key":"8b408032d57e","_type":"block","children":[{"_key":"177b1913ba6b0","_type":"span","marks":[],"text":"Physical Therapy"}],"markDefs":[],"style":"h5"},{"_key":"0b348ac73c4b","_type":"block","children":[{"_key":"8ce71bbcf4030","_type":"span","marks":[],"text":"Pelvic floor physical therapy involves exercises and techniques to relax and strengthen pelvic floor muscles, which can be beneficial for vaginismus and pelvic floor dysfunction."}],"markDefs":[],"style":"normal"},{"_key":"1b38fa15f7ba","_type":"block","children":[{"_key":"5c54bc16af970","_type":"span","marks":[],"text":"Surgical Intervention"}],"markDefs":[],"style":"h5"},{"_key":"52291e815501","_type":"block","children":[{"_key":"ebadbfdb2ecf0","_type":"span","marks":[],"text":"Certain cases of endometriosis or structural abnormalities might require surgery to remove scar tissue and address anatomical issues."}],"markDefs":[],"style":"normal"},{"_key":"6fd639981d9b","_type":"block","children":[{"_key":"0e59df73aa0b0","_type":"span","marks":[],"text":"Counseling or Sex Therapy"}],"markDefs":[],"style":"h5"},{"_key":"c4233fc621ae","_type":"block","children":[{"_key":"9514bac9e4180","_type":"span","marks":[],"text":"For psychological factors contributing to painful sex, counseling or sex therapy might be recommended to address emotional concerns, trauma, and relationship issues. Additionally, cognitive behavioral therapy and some medications can be useful for people experiencing anxiety, depression, and other mental illnesses impacting sex."}],"markDefs":[],"style":"normal"},{"_key":"d10c8a7bd291","_type":"block","children":[{"_key":"013508ab3a760","_type":"span","marks":[],"text":"Lifestyle Changes"}],"markDefs":[],"style":"h5"},{"_key":"22096dc39efa","_type":"block","children":[{"_key":"c9990b050e3e0","_type":"span","marks":[],"text":"Making lifestyle changes, like managing stress, eating a healthy diet, staying hydrated, and getting regular exercise can have a positive impact on pain and overall sexual health."}],"markDefs":[],"style":"normal"},{"_key":"177dbcf4f766","_type":"sectionHeader","title":"Turn our \"Ouch!\" into \"Ooooh!\""},{"_key":"adb633b24faa","_type":"block","children":[{"_key":"cdb71a198e310","_type":"span","marks":[],"text":"Painful sex is a complex issue that requires understanding, patience, and proactive efforts. It can have profound effects on a person's sexual health and relationships. So, seeking professional help, fostering open communication, and exploring appropriate treatments are essential steps toward addressing the physical and emotional aspects of this condition. Preparing your mind and body for sex when it’s painful involves a combination of physical and psychological strategies, including extending foreplay, practicing self-compassion, strengthening your pelvic floor muscles, making lifestyle changes, and counseling."}],"markDefs":[],"style":"normal"},{"_key":"ce8b10c8b721","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"615ddd1065b4","_type":"block","children":[{"_key":"c2b7724dd149","_type":"span","marks":[],"text":"If you’re experiencing pain or discomfort with sex, Tia can work with you to identify the cause and get a tailored treatment plan started that feels comfortable for you. 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The same four listed in a single appointment, or over time in a single health home, look like a pattern."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6016ad3e44b4","_type":"block","children":[{"_key":"8ebd7f882c1b0","_type":"span","marks":["strong"],"text":"Treating the surface instead of the cause."},{"_key":"8ebd7f882c1b1","_type":"span","marks":[],"text":" Eye drops, stronger deodorant, new toothpaste, and a heavier moisturizer all manage the symptom without ever asking why it started."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9f7a6e92aa2f","_type":"block","children":[{"_key":"f8b43ad1fdb30","_type":"span","marks":["strong"],"text":"Assuming everything is hormonal."},{"_key":"f8b43ad1fdb31","_type":"span","marks":[],"text":" This is the opposite error and it is just as costly. Thyroid disease, iron deficiency, sleep apnea, and autoimmune conditions all become more common in midlife and produce overlapping symptoms."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"952c79b77104","_type":"block","children":[{"_key":"2b9c05ec8ace0","_type":"span","marks":["strong"],"text":"Relying on an at-home hormone test."},{"_key":"2b9c05ec8ace1","_type":"span","marks":[],"text":" Hormone levels swing day to day during perimenopause, so a normal reading on a given morning rules nothing out. Diagnosis rests on symptom pattern, cycle history, and age."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"61bf5d04f9b9","_type":"block","children":[{"_key":"bfe92d8a9cf40","_type":"span","marks":["strong"],"text":"Waiting to qualify."},{"_key":"bfe92d8a9cf41","_type":"span","marks":[],"text":" Many women hold off until symptoms are severe enough to feel worth mentioning. Several of the changes underway in this window are easier to prevent than reverse."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"224b75f8d066","_type":"block","children":[{"_key":"1e3a2c12afd7","_type":"span","marks":["strong"],"text":"Stopping at one normal result."},{"_key":"645653ff550d","_type":"span","marks":[],"text":" A single normal thyroid panel or a normal hormone reading closes the conversation for many women. 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When thyroid levels are high, the pituitary gland stops releasing TSH."}],"markDefs":[],"style":"normal"},{"_key":"3758318888fc","_type":"block","children":[{"_key":"9acea320b8210","_type":"span","marks":[],"text":"Fun fact: Healthcare providers measure TSH levels in your blood to indirectly check thyroid hormone levels. If you’re TSH level is too low, it means your thyroid is over-producing thyroid hormone. If it’s too high, it means your thyroid isn’t producing enough thyroid hormones."}],"markDefs":[],"style":"normal"},{"_key":"33d0ec3c6caf","_type":"block","children":[{"_key":"18d01770e3140","_type":"span","marks":[],"text":"Thyroid disorders occur when this delicate balance is disrupted. 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Other causes of hypothyroidism include iodine deficiency, certain medications, and previous treatments for hyperthyroidism."}],"markDefs":[],"style":"normal"},{"_key":"2cd2e3461d8d","_type":"block","children":[{"_key":"de89c059250c0","_type":"span","marks":[],"text":"These are the most common symptoms of hypothyroidism:"}],"markDefs":[],"style":"normal"},{"_key":"73057abaa956","_type":"block","children":[{"_key":"d41ffebc664e0","_type":"span","marks":[],"text":"· Fatigue"}],"markDefs":[],"style":"normal"},{"_key":"018558920a9b","_type":"block","children":[{"_key":"88c9cf42942a0","_type":"span","marks":[],"text":"· Weight gain"}],"markDefs":[],"style":"normal"},{"_key":"98aef1116c66","_type":"block","children":[{"_key":"83e2aa246a0c0","_type":"span","marks":[],"text":"· Cold intolerance"}],"markDefs":[],"style":"normal"},{"_key":"c34618a79b0f","_type":"block","children":[{"_key":"466169ddb78a0","_type":"span","marks":[],"text":"· Depression"}],"markDefs":[],"style":"normal"},{"_key":"25f3b176e9f8","_type":"block","children":[{"_key":"474c445848520","_type":"span","marks":[],"text":"· Constipation"}],"markDefs":[],"style":"normal"},{"_key":"cbfcdfc8911c","_type":"block","children":[{"_key":"23706311c54d0","_type":"span","marks":[],"text":"· Dry skin and hair"}],"markDefs":[],"style":"normal"},{"_key":"bb7a78f24e96","_type":"block","children":[{"_key":"039554c2b6200","_type":"span","marks":[],"text":"· Irregular periods"}],"markDefs":[],"style":"normal"},{"_key":"489626d9e0ae","_type":"sectionHeader","headerLevel":"h3","title":"HYPERTHYROIDISM"},{"_key":"be5e79f6e232","_type":"block","children":[{"_key":"d807248002fb0","_type":"span","marks":[],"text":"Hyperthyroidism is essentially the opposite of hypothyroidism. This condition is characterized by an overproduction of thyroid hormones and leads to an acceleration of bodily functions."}],"markDefs":[],"style":"normal"},{"_key":"ea96a1140bfc","_type":"block","children":[{"_key":"3f5eba00dba80","_type":"span","marks":[],"text":"The most common cause of hyperthyroidism is Graves’ disease, an autoimmune disorder that stimulates the thyroid to produce excessive amounts of hormones. Other causes of hyperthyroidism include thyroid nodules (see below) and inflammation of the thyroid (thyroiditis)."}],"markDefs":[],"style":"normal"},{"_key":"f4ed1edbb6ef","_type":"block","children":[{"_key":"5d89dd3fbdbe0","_type":"span","marks":[],"text":"The most common symptoms of hyperthyroidism include:"}],"markDefs":[],"style":"normal"},{"_key":"ff10f0a097da","_type":"block","children":[{"_key":"71000bcd0b5b0","_type":"span","marks":[],"text":"· Unexplained weight loss"}],"markDefs":[],"style":"normal"},{"_key":"777bf42ae359","_type":"block","children":[{"_key":"03ed1d68cc260","_type":"span","marks":[],"text":"· Rapid heart rate or heart palpitations"}],"markDefs":[],"style":"normal"},{"_key":"643bbcda3238","_type":"block","children":[{"_key":"ce52f8b610060","_type":"span","marks":[],"text":"· Increased appetite"}],"markDefs":[],"style":"normal"},{"_key":"8173af9ed1c5","_type":"block","children":[{"_key":"e215cf5c0cf00","_type":"span","marks":[],"text":"· Nervousness or irritability"}],"markDefs":[],"style":"normal"},{"_key":"58b2110192da","_type":"block","children":[{"_key":"0552fd1198f20","_type":"span","marks":[],"text":"· Sweating"}],"markDefs":[],"style":"normal"},{"_key":"93f7b20c413b","_type":"block","children":[{"_key":"59c63cd9c1090","_type":"span","marks":[],"text":"· Tremors"}],"markDefs":[],"style":"normal"},{"_key":"d050ec960cd2","_type":"block","children":[{"_key":"c09eca9f33280","_type":"span","marks":[],"text":"· Difficulty sleeping"}],"markDefs":[],"style":"normal"},{"_key":"19602ee2d0aa","_type":"sectionHeader","headerLevel":"h3","title":"THYROID NODULES AND GOITER"},{"_key":"580b7cf5fe89","_type":"block","children":[{"_key":"66b2410d16450","_type":"span","marks":[],"text":"A thyroid nodule is caused by an abnormal growth of thyroid cells that forms a lump (or multiple lumps) in the thyroid gland. Usually, they are harmless and not something to worry about. But sometimes thyroid nodules do contain cancer."}],"markDefs":[],"style":"normal"},{"_key":"f6617d49e9ac","_type":"block","children":[{"_key":"a8dbfddbd1650","_type":"span","marks":[],"text":"According to the "},{"_key":"ed1c4cf6f033","_type":"span","marks":["74995365f77d"],"text":"American Thyroid Association"},{"_key":"9b6cb3b63eea","_type":"span","marks":[],"text":" more than 90% of thyroid nodules are benign (noncancerous) lesions, but 4-7% of thyroid nodules do contain cancer."}],"markDefs":[{"_key":"74995365f77d","_type":"externalLink","linkType":"text","url":"https://www.thyroid.org/"}],"style":"normal"},{"_key":"b4591274fc6f","_type":"block","children":[{"_key":"c36efc134a7c0","_type":"span","marks":[],"text":"Thyroid nodules are four times more common in women than men and are detected in approximately 5-7% of the adult female population by physical exam alone. ("},{"_key":"a84f3e994846","_type":"span","marks":["590c1c8d4f75"],"text":"National Institutes of Health"},{"_key":"4e89a5b2d803","_type":"span","marks":[],"text":")"}],"markDefs":[{"_key":"590c1c8d4f75","_type":"externalLink","linkType":"text","url":"https://www.ncbi.nlm.nih.gov/books/NBK535422/)"}],"style":"normal"},{"_key":"6a71c5a58dd4","_type":"block","children":[{"_key":"e0d9280b5ba40","_type":"span","marks":[],"text":"A goiter is an enlarged thyroid gland, which can occur due to thyroid dysfunction, autoimmune disease, iodine deficiency, and other causes."}],"markDefs":[],"style":"normal"},{"_key":"d88483b049d4","_type":"block","children":[{"_key":"4406fb47d2510","_type":"span","marks":[],"text":"Thyroid nodules and goiters don’t always cause symptoms, but large goiters can lead to difficulty swallowing or breathing."}],"markDefs":[],"style":"normal"},{"_key":"39b907311a50","_type":"sectionHeader","headerLevel":"h3","title":"THYROID CANCER"},{"_key":"d069c3cc4c0a","_type":"block","children":[{"_key":"bbb22e50fbb00","_type":"span","marks":[],"text":"Thyroid cancer, which is caused by an abnormal growth of cells in the thyroid gland, is relatively rare but is another thyroid disorder you need to have on your radar."}],"markDefs":[],"style":"normal"},{"_key":"3dc1b8ea38e2","_type":"block","children":[{"_key":"2dfb6c7a93710","_type":"span","marks":[],"text":"Thankfully, the most common types of thyroid cancer are slow-growing and highly treatable. Left undetected and untreated, thyroid cancer can spread to lymph nodes and spread to other parts of the body."}],"markDefs":[],"style":"normal"},{"_key":"64814ad40426","_type":"block","children":[{"_key":"f12d05f8769b0","_type":"span","marks":[],"text":"Papillary thyroid cancer is most common type of thyroid cancer followed by follicular thyroid cancer. Other forms of thyroid cancer, like Hurthle cell thyroid cancer, anaplastic thyroid cancer, and medullary thyroid cancer, are rarer but also can be more difficult to treat."}],"markDefs":[],"style":"normal"},{"_key":"4d5e1c1bc3ef","_type":"block","children":[{"_key":"b7c2a2335db20","_type":"span","marks":[],"text":"Most thyroid cancers don’t cause any signs or symptoms early in the disease course, but it can present as a painless lump or nodule. This is why it’s important to get any new lumps in your lower neck checked out by your provider."}],"markDefs":[],"style":"normal"},{"_key":"e50f699c39f7","_type":"block","children":[{"_key":"33f97659a26e0","_type":"span","marks":[],"text":"As thyroid cancer grows, it may eventually cause symptoms, such as these:"}],"markDefs":[],"style":"normal"},{"_key":"d6e6dfa170fa","_type":"block","children":[{"_key":"b080c763cc590","_type":"span","marks":[],"text":"· A lump or nodule that can be felt in your neck"}],"markDefs":[],"style":"normal"},{"_key":"3ba0b8766229","_type":"block","children":[{"_key":"6e9dc889f8e90","_type":"span","marks":[],"text":"· Voice changes, like hoarseness"}],"markDefs":[],"style":"normal"},{"_key":"6e20ccb71538","_type":"block","children":[{"_key":"68eeb42212a20","_type":"span","marks":[],"text":"· Difficulty swallowing"}],"markDefs":[],"style":"normal"},{"_key":"959b65224bfa","_type":"block","children":[{"_key":"c9273b7ef8540","_type":"span","marks":[],"text":"· Swollen lymph nodes in your neck"}],"markDefs":[],"style":"normal"},{"_key":"c9b8179e97ab","_type":"block","children":[{"_key":"88d037d67fdb0","_type":"span","marks":[],"text":"· Pain or pressure in your neck or throat"}],"markDefs":[],"style":"normal"},{"_key":"a403392d7203","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"700a06b39dca","_type":"block","children":[{"_key":"36ea0cbfea29","_type":"span","marks":[],"text":"Think your symptoms could be thyroid-related? "}],"markDefs":[],"style":"large"},{"_key":"31c956379e50","_type":"block","children":[{"_key":"aa80ddacad15","_type":"span","marks":[],"text":"Get care within days, not months either online or "},{"_key":"c29ea54ae170","_type":"span","marks":["c2ba8a119d41"],"text":"in-clinic"},{"_key":"fb8031438e9c","_type":"span","marks":[],"text":" to discuss your health."}],"markDefs":[{"_key":"c2ba8a119d41","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"f92bd7a6ea94","_type":"block","children":[{"_key":"dcd953aff693","_type":"span","marks":[],"text":"Takes 3–5 minutes to create an account "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"adc5b744115c","_type":"block","children":[{"_key":"0bceb2e02c21","_type":"span","marks":[],"text":"No membership fee to book "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c2f509fba6a7","_type":"block","children":[{"_key":"1e658e50bf9d","_type":"span","marks":[],"text":"Insurance accepted"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e6c2186e4f26","_type":"buttonBlock","items":[{"_key":"cabfb86f6747","_type":"singleButton","linkCta":"Book appointment","linkType":"join-scroll-shape"}]}]},{"_key":"6b95b38936e9","_type":"sectionHeader","headerLevel":"h2","title":"Risk Factors for Thyroid Disorders"},{"_key":"deb81f86e79d","_type":"block","children":[{"_key":"c638d14d08f60","_type":"span","marks":[],"text":"Scientists have found a few risk factors that make a person more likely to develop thyroid cancer, including gender, age, genetics, family history, radiation, obesity, autoimmune diseases, and iodine."}],"markDefs":[],"style":"normal"},{"_key":"844fbf32db0a","_type":"block","children":[{"_key":"67b4c851cf2b0","_type":"span","marks":["strong"],"text":"Gender"}],"markDefs":[],"style":"normal"},{"_key":"050d67144cfd","_type":"block","children":[{"_key":"97b847d76d900","_type":"span","marks":[],"text":"· For unknown reasons, thyroid cancer occurs three times more often in women."}],"markDefs":[],"style":"normal"},{"_key":"3a35d5ffa4ab","_type":"block","children":[{"_key":"c1225f699d960","_type":"span","marks":["strong"],"text":"Age"}],"markDefs":[],"style":"normal"},{"_key":"fec3e14612c1","_type":"block","children":[{"_key":"2e5e69f245990","_type":"span","marks":[],"text":"· Thyroid cancer is most common in people 30-60 years old."}],"markDefs":[],"style":"normal"},{"_key":"957da37614d6","_type":"block","children":[{"_key":"a5c344d404fb0","_type":"span","marks":["strong"],"text":"Genetics"}],"markDefs":[],"style":"normal"},{"_key":"4fcea1fdb80b","_type":"block","children":[{"_key":"a42b25dfd8a50","_type":"span","marks":[],"text":"· Some inherited conditions, like multiple endocrine neoplasia type 2 (MEN2) and Gardner syndrome, increase your risk of developing thyroid cancer. Keep in mind, these are rare conditions and only account for a small portion of overall thyroid cancers."}],"markDefs":[],"style":"normal"},{"_key":"e3f7b37edf90","_type":"block","children":[{"_key":"974d939299200","_type":"span","marks":["strong"],"text":"Family History of Thyroid Cancer"}],"markDefs":[],"style":"normal"},{"_key":"b31cd51c8f5b","_type":"block","children":[{"_key":"cd3347317b5a0","_type":"span","marks":[],"text":"· If you have a first-degree relative (parent, brother, sister, or child) with thyroid cancer, you have an increased risk of developing it as well."}],"markDefs":[],"style":"normal"},{"_key":"9e40274e4ed5","_type":"block","children":[{"_key":"04248ca71c8b0","_type":"span","marks":["strong"],"text":"Radiation"}],"markDefs":[],"style":"normal"},{"_key":"05ac8c5cdf4f","_type":"block","children":[{"_key":"e7a6c45724a40","_type":"span","marks":[],"text":"· Radiation exposure, usually from certain medical tests and treatments (a possible side effect of radiation therapy), is another risk factor for thyroid cancer."}],"markDefs":[],"style":"normal"},{"_key":"bff53eda7710","_type":"block","children":[{"_key":"5aa4a39718bf0","_type":"span","marks":["strong"],"text":"Obesity"}],"markDefs":[],"style":"normal"},{"_key":"049b1e623c8f","_type":"block","children":[{"_key":"ba118b3278d70","_type":"span","marks":[],"text":"· People with excess body weight have a higher risk for thyroid cancer, and this risk seems to rise as BMI (body mass index) increases."}],"markDefs":[],"style":"normal"},{"_key":"bfc05c5fe227","_type":"block","children":[{"_key":"aa85d33a0ded0","_type":"span","marks":["strong"],"text":"Autoimmune Diseases"}],"markDefs":[],"style":"normal"},{"_key":"976ee47c552d","_type":"block","children":[{"_key":"80c0eb7b974b0","_type":"span","marks":[],"text":"· Certain conditions, like type 1 diabetes and celiac disease, are associated with developing thyroid cancer."}],"markDefs":[],"style":"normal"},{"_key":"4732c0890179","_type":"block","children":[{"_key":"8ecdf74a8c740","_type":"span","marks":["strong"],"text":"Iodine"}],"markDefs":[],"style":"normal"},{"_key":"b5b6d17fc48e","_type":"block","children":[{"_key":"fa4e9896bbbb0","_type":"span","marks":[],"text":"· People who ingest too little iodine (follicular thyroid cancer) or ingest too much iodine (papillary thyroid cancer) have a higher risk of thyroid cancer. In the United States, most people get enough iodine because it’s added to table salt and many other foods."}],"markDefs":[],"style":"normal"},{"_key":"482e56574a04","_type":"sectionHeader","headerLevel":"h2","title":"Diagnosing Thyroid Disorders"},{"_key":"6448e0c32081","_type":"block","children":[{"_key":"fbea92526fcc0","_type":"span","marks":[],"text":"The initial evaluation for people with thyroid nodules or symptoms of thyroid conditions starts with a medical history, a physical exam, and blood tests to measure TSH (thyroid stimulating hormone), T3, and T4. As mentioned above, a high TSH level indicates hypothyroidism while a low level of TSH suggests hyperthyroidism."}],"markDefs":[],"style":"normal"},{"_key":"dc8fd02ff6b0","_type":"block","children":[{"_key":"efca1d65f6ca0","_type":"span","marks":[],"text":"Your provider can also order tests to look for antibodies to determine if an autoimmune disorder, like Hashimoto’s thyroiditis or Graves’ disease, might be causing your thyroid dysfunction."}],"markDefs":[],"style":"normal"},{"_key":"4db90bfa216a","_type":"block","children":[{"_key":"19c7859316c00","_type":"span","marks":[],"text":"If your provider suspects a thyroid disorder, she will most likely order imaging tests and/or a biopsy of your thyroid gland."}],"markDefs":[],"style":"normal"},{"_key":"5233750f8189","_type":"block","children":[{"_key":"7936cf67ce3b0","_type":"span","marks":[],"text":"Imagine studies may include an ultrasound or CT scan to get a closer look at any suspicious nodules or a radioactive iodine uptake scan (aka a thyroid scan) to determine how well your thyroid is functioning. The thyroid absorbs iodine to produce hormones that regulate metabolism and energy, and this scan can allow your doctor to see how effectively your thyroid uptakes iodine."}],"markDefs":[],"style":"normal"},{"_key":"60a87fe8e6d2","_type":"block","children":[{"_key":"38c2fd6592b50","_type":"span","marks":[],"text":"Your provider can also perform a fine-needle biopsy to collect tissue samples, assess thyroid health, and look for thyroid cancer cells."}],"markDefs":[],"style":"normal"},{"_key":"e171c595d247","_type":"sectionHeader","headerLevel":"h2","title":"Managing and Treating Thyroid Disorders"},{"_key":"e5ea24bddf95","_type":"block","children":[{"_key":"a27d1d66e60a","_type":"span","marks":[],"text":"After being diagnosed with a thyroid disorder, your provider has several options for managing and treating it, including medication, surgery, and lifestyle changes."}],"markDefs":[],"style":"normal"},{"_key":"66f5bf2a0f6e","_type":"sectionHeader","headerLevel":"h3","title":"Medication"},{"_key":"cabab0051042","_type":"block","children":[{"_key":"398f62d92a180","_type":"span","marks":[],"text":"· Synthetic thyroid hormone (levothyroxine) is the standard treatment for hypothyroidism. This oral medication restores normal hormone levels and can alleviate symptoms. You will need regular blood tests to monitor hormone levels and adjust dosage."}],"markDefs":[],"style":"normal"},{"_key":"f8d403ae87d8","_type":"block","children":[{"_key":"6ccd8eea9f450","_type":"span","marks":[],"text":"· Treatment for hyperthyroid include antithyroid medications that reduce the production of thyroid hormones. It may also include therapy with beta-blockers, a class of medicine that can reduce symptoms, like rapid heartbeat. In some cases, surgery to remove part or all of the thyroid gland or radioactive iodine therapy may be necessary to alleviate symptoms of hyperthyroidism."}],"markDefs":[],"style":"normal"},{"_key":"9885d00b8bf8","_type":"sectionHeader","headerLevel":"h3","title":"Surgery"},{"_key":"e6245457b8a5","_type":"block","children":[{"_key":"82e9aec0f20e0","_type":"span","marks":[],"text":"· For certain thyroid disorders - like large goiters, multiple nodules, severe hyperthyroidism, and cancer – surgical removal of the thyroid gland (thyroidectomy) may be recommended."}],"markDefs":[],"style":"normal"},{"_key":"615bd208a01b","_type":"sectionHeader","headerLevel":"h3","title":" Radioactive Iodine Treatment"},{"_key":"d7626c435c1f","_type":"block","children":[{"_key":"70265a5b9b620","_type":"span","marks":[],"text":"· This is another treatment option for people with hyperthyroidism and certain thyroid cancers. It involves ingesting a small amount of radioactive iodine, which is taken up by the thyroid gland and destroys overactive thyroid tissue."}],"markDefs":[],"style":"normal"},{"_key":"5dc2e189f555","_type":"sectionHeader","headerLevel":"h3","title":"Diet and Lifestyle"},{"_key":"ea6432457269","_type":"block","children":[{"_key":"4117f4f2bba50","_type":"span","marks":[],"text":"· Iodine is essential for thyroid function, so it’s important to get enough of this mineral by eating an array of iodine-rich foods like fish, dairy products, and iodized salt."}],"markDefs":[],"style":"normal"},{"_key":"a943a4717df7","_type":"block","children":[{"_key":"e25916e6e8c50","_type":"span","marks":[],"text":"· Chronic stress can worsen thyroid imbalances, especially in people with autoimmune disorders, like Hashimoto’s or Graves’. Practices like yoga, meditation, and breath work can help manage stress and can make a big difference to your thyroid health."}],"markDefs":[],"style":"normal"},{"_key":"38f3ce7f8d61","_type":"block","children":[{"_key":"e9cdab1fbdbc0","_type":"span","marks":[],"text":"· Regular exercise can helps regulate metabolism and body weight, which is especially helpful for people diagnosed with hypothyroidism."}],"markDefs":[],"style":"normal"},{"_key":"550cda415b69","_type":"sectionHeader","headerLevel":"h2","title":"Conclusion"},{"_key":"03a06d9ec3b4","_type":"block","children":[{"_key":"13dea69e8d5c0","_type":"span","marks":[],"text":"Even though thyroid disorders are common, they are also often misunderstood and misdiagnosed. The wide-range of signs and symptoms associated with thyroid conditions can often lead providers down the wrong diagnostic path, which can delay treatment of these highly manageable disorders. "}],"markDefs":[],"style":"normal"},{"_key":"52a651f25c5d","_type":"block","children":[{"_key":"1e6b6dae63380","_type":"span","marks":[],"text":"It’s worth repeating that women need to be particularly vigilant about their thyroid health. 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The night sweats, the mood swings, the brain fog that makes a familiar task feel foreign. A common next thought is to ask for a "},{"_key":"68f5a18d57bc1","_type":"span","marks":["strong"],"text":"hormone test,"},{"_key":"68f5a18d57bc2","_type":"span","marks":[],"text":" hoping a number on a lab report will finally explain what is happening."}],"markDefs":[],"style":"normal"},{"_key":"880bf71337a2","_type":"block","children":[{"_key":"05704b948dc50","_type":"span","marks":[],"text":"It is a reasonable instinct. The hard truth is that for most women, a hormone test will not deliver the clear answer they are looking for. Hormone levels swing too much during this stage to confirm or rule out perimenopause on their own. Leading bodies, including the "},{"_key":"f1e00aaf4cf5","_type":"span","marks":["69e77c24fe96"],"text":"American College of Obstetricians and Gynecologists"},{"_key":"74b9c8283e91","_type":"span","marks":[],"text":", recommend a symptom-based approach instead."}],"markDefs":[{"_key":"69e77c24fe96","_type":"externalLink","linkType":"text","url":"https://www.acog.org/womens-health/experts-and-stories/ask-acog/do-i-need-to-have-testing-of-my-hormone-levels-during-perimenopause"}],"style":"normal"},{"_key":"1e0f1d6f86bf","_type":"block","children":[{"_key":"d736ca62ed360","_type":"span","marks":[],"text":"Here is what hormone testing can and cannot tell women, when it is genuinely useful, and why what women feel matters more than a single lab value."}],"markDefs":[],"style":"normal"},{"_key":"6a1e54fb30f9","_type":"sectionHeader","headerLevel":"h2","title":"Can a hormone test diagnose perimenopause?"},{"_key":"30a25f9884a4","_type":"block","children":[{"_key":"88d485c1883b0","_type":"span","marks":[],"text":"For most women, the answer is no. Perimenopause and menopause are usually diagnosed clinically, based on age, symptoms, and a clear change in the menstrual cycle. Menopause itself is defined as twelve consecutive months without a period, with the average age around 52."}],"markDefs":[],"style":"normal"},{"_key":"8dde130bd04d","_type":"block","children":[{"_key":"917a4e0dc0920","_type":"span","marks":[],"text":"ACOG is direct on this point. Its "},{"_key":"7d3d19caccb9","_type":"span","marks":["da25177ba393"],"text":"patient guidance"},{"_key":"7b8afe6a0ede","_type":"span","marks":[],"text":" explains that a provider can usually tell whether a woman is in perimenopause from her age, her symptoms, and changes in her periods, without a blood test. "},{"_key":"2f23b79515d8","_type":"span","marks":["41261bc39893"],"text":"The Cleveland Clinic"},{"_key":"f4dd9d3d0d06","_type":"span","marks":[],"text":" reaches the same conclusion: hormone testing is not necessary to diagnose perimenopause because levels fluctuate so much that the tests are not reliable."}],"markDefs":[{"_key":"41261bc39893","_type":"externalLink","linkType":"text","url":"https://my.clevelandclinic.org/health/diseases/21608-perimenopause"},{"_key":"da25177ba393","_type":"externalLink","linkType":"text","url":"https://www.acog.org/womens-health/experts-and-stories/ask-acog/do-i-need-to-have-testing-of-my-hormone-levels-during-perimenopause"}],"style":"normal"},{"_key":"17a056a783c7","_type":"block","children":[{"_key":"92bb58c3c2a90","_type":"span","marks":[],"text":"This is one reason a "},{"_key":"a21ff437b92c","_type":"span","marks":["cf81be060026"],"text":"hormonal assessment for menopause"},{"_key":"db0b75d1f8b6","_type":"span","marks":[],"text":" at Tia starts with a detailed conversation about symptoms and cycle history rather than a lab requisition."}],"markDefs":[{"_key":"cf81be060026","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/menopause-preimenopause-assessment/"}],"style":"normal"},{"_key":"5fb740ad5070","_type":"sectionHeader","headerLevel":"h2","title":"Why a Single Hormone Test Rarely Gives a Clear Answer"},{"_key":"482df23d7300","_type":"block","children":[{"_key":"501fbe2de3640","_type":"span","marks":[],"text":"During perimenopause, hormone levels do not decline in a tidy straight line. They rise and fall erratically, sometimes from one day to the next. A test taken today might look normal, while one taken a week later could look very different."}],"markDefs":[],"style":"normal"},{"_key":"ad6eab54977e","_type":"block","children":[{"_key":"63cd178fd97b0","_type":"span","marks":[],"text":"That is why a single result is only a snapshot. As the Cleveland Clinic notes, follicle-stimulating hormone, or FSH, can be elevated during this stage, but "},{"_key":"9528fe4fed96","_type":"span","marks":["edf4a8ff368c"],"text":"at-home and one-off tests"},{"_key":"a32cab7d92f2","_type":"span","marks":[],"text":" cannot definitively diagnose menopause precisely because those levels swing. "},{"_key":"f75bd4a526f5","_type":"span","marks":["6e1045746b3e"],"text":"Laboratory guidance"},{"_key":"06990629cf1a","_type":"span","marks":[],"text":" echoes this: a single FSH value should be interpreted with caution, since consistently elevated levels over time, not one reading, are what point toward menopause."}],"markDefs":[{"_key":"edf4a8ff368c","_type":"externalLink","linkType":"text","url":"https://health.clevelandclinic.org/menopause-test-kit"},{"_key":"6e1045746b3e","_type":"externalLink","linkType":"text","url":"https://www.testing.com/menopause-testing/"}],"style":"normal"},{"_key":"932401df1b24","_type":"block","children":[{"_key":"3915e8f43bd40","_type":"span","marks":[],"text":"The takeaway is simple. A normal-looking hormone panel does not mean a woman is not in perimenopause, and an abnormal one does not confirm it either."}],"markDefs":[],"style":"normal"},{"_key":"db6e27ca98f7","_type":"sectionHeader","headerLevel":"h2","title":"What hormone tests can and cannot tell women"},{"_key":"127d8069230e","_type":"block","children":[{"_key":"67f3535639a50","_type":"span","marks":[],"text":"If a woman and her provider decide testing makes sense, it helps to know what each test does and does not reveal. The table below outlines the most common scenarios."}],"markDefs":[],"style":"normal"},{"_key":"742fac27d093","_type":"tableModule","subTable":{"rows":[{"_key":"dfef45b8-cb8e-4d25-a4e2-f407e62c83e4","_type":"tableRow","cells":["<b>Situation","<b>Labs that may be ordered","<b>What it can tell women"]}]},"table":{"rows":[{"_key":"9d512c45-a7f7-4454-9f12-cfda34c55e61","_type":"tableRow","cells":["The clinical picture is unclear","Thyroid hormones (TSH), vitamin D, vitamin B12","Helps rule out other causes of fatigue, brain fog, and mood changes"]},{"_key":"3dcc9837-e4d4-4f42-8a95-1f37fbceeb99","_type":"tableRow","cells":["Symptoms before age 40","FSH, sometimes repeated with estradiol","Helps screen for primary ovarian insufficiency, which is managed differently"]},{"_key":"bc987f3c-7733-4952-9524-baef931bdeb4","_type":"tableRow","cells":["Tracking an existing treatment plan","Estradiol, testosterone, or other targeted levels","Provides a baseline to evaluate how a plan is working over time"]},{"_key":"70c6ffa6-5f25-4b40-a6a4-c5bcb4881d27","_type":"tableRow","cells":["Typical symptoms at 45 or older","Usually none needed for diagnosis","A single panel rarely adds clarity; symptoms and cycle history guide care"]}]}},{"_key":"b8e89f227605","_type":"block","children":[{"_key":"a8dbfd40f9dd0","_type":"span","marks":[],"text":"Tia's care team can order a tailored panel when it is warranted as part of broader "},{"_key":"6542c74d5dd7","_type":"span","marks":["0756f3d3a656"],"text":"hormone testing at Tia"},{"_key":"be332eede5ba","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"0756f3d3a656","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/hormone-testing/"}],"style":"normal"},{"_key":"48aec5c7c7a1","_type":"sectionHeader","headerLevel":"h2","title":"When Hormone Testing is Actually Useful"},{"_key":"df245356273c","_type":"block","children":[{"_key":"3bd2f34c14890","_type":"span","marks":[],"text":"Testing is not useless. It is most valuable when it would actually change what happens next. Research and clinical guidelines point to a few clear cases."}],"markDefs":[],"style":"normal"},{"_key":"9e0cb062ee40","_type":"block","children":[{"_key":"0936faaa9bbc0","_type":"span","marks":["strong"],"text":"When symptoms could be something else. "},{"_key":"0936faaa9bbc1","_type":"span","marks":[],"text":"Conditions like thyroid disease and PMOS can mimic perimenopause. Checking thyroid function helps rule them out."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9d4c98787454","_type":"block","children":[{"_key":"a9d93e9b8acb0","_type":"span","marks":["strong"],"text":"When a woman is under 40 or 45. "},{"_key":"a9d93e9b8acb1","_type":"span","marks":[],"text":"ACOG advises that women younger than 45 with changing periods, and especially those under 40, may be offered a blood test to check for early or premature menopause."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9cf239f27864","_type":"block","children":[{"_key":"1b3b0b7dd53f0","_type":"span","marks":["strong"],"text":"When checking overall health. "},{"_key":"1b3b0b7dd53f1","_type":"span","marks":[],"text":"Labs for anemia, vitamin B12, TSH and vitamin D can surface other reasons for fatigue and low energy."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e4f74fae11fa","_type":"block","children":[{"_key":"9fe4c61231a30","_type":"span","marks":[],"text":"For women navigating the wider transition, this fits into "},{"_key":"86a9f2fff4a6","_type":"span","marks":["9993e5f662d1"],"text":"Tia's perimenopause and menopause care"},{"_key":"d50c802ad788","_type":"span","marks":[],"text":", which looks at the whole picture rather than a single marker. Selective testing supports that work; it does not replace it."}],"markDefs":[{"_key":"9993e5f662d1","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/perimenopause-menopause/"}],"style":"normal"},{"_key":"c0aaec74bd2d","_type":"sectionHeader","headerLevel":"h2","title":"How Birth Control Can Skew Hormone Test Results"},{"_key":"2dc498d61110","_type":"block","children":[{"_key":"b314c09438160","_type":"span","marks":[],"text":"There is another reason labs can mislead. Women on hormonal contraception, whether the pill, a hormonal IUD, or an implant, typically have their natural hormones suppressed. A test in that situation mostly reflects the synthetic hormones in the medication, not the body's own baseline."}],"markDefs":[],"style":"normal"},{"_key":"5c793305775a","_type":"block","children":[{"_key":"5c6b41e1d51a0","_type":"span","marks":[],"text":"Because of this, "},{"_key":"04e86dc2116f","_type":"span","marks":["0d63fe79f10f"],"text":"national guidance"},{"_key":"9d1ed65509ac","_type":"span","marks":[],"text":" notes that testing is generally not a reliable way to assess natural hormone function while on these methods, and decisions should be symptom-based. For women weighing their options, a "},{"_key":"3b423ef7d449","_type":"span","marks":["77adead60b0e"],"text":"contraception consultation at Tia"},{"_key":"1254f408025b","_type":"span","marks":[],"text":" can clarify how a chosen method may interact with this stage of life."}],"markDefs":[{"_key":"77adead60b0e","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/contraception-consult/"},{"_key":"0d63fe79f10f","_type":"externalLink","linkType":"text","url":"https://www.acog.org/womens-health/experts-and-stories/ask-acog/hormone-testing-before-hormone-therapy"}],"style":"normal"},{"_key":"440733ef09b0","_type":"sectionHeader","headerLevel":"h2","title":"Why Symptoms Are The Most Reliable Guide"},{"_key":"6ae39b2f512c","_type":"block","children":[{"_key":"b80586c1b80d0","_type":"span","marks":[],"text":"From hot flashes and night sweats to brain fog and anxiety, the symptoms of perimenopause are wide-ranging and unpredictable. Many women feel more symptoms during perimenopause, the years leading up to the final period, than after it ends."}],"markDefs":[],"style":"normal"},{"_key":"b43cccb3ed8c","_type":"block","children":[{"_key":"47a885a7ae900","_type":"span","marks":[],"text":"This is exactly why guidelines favor listening over lab-chasing. "},{"_key":"c091b189b30f","_type":"span","marks":["05a3c2b384d5"],"text":"The North American Menopause Society and ACOG"},{"_key":"3b37945a9ec9","_type":"span","marks":[],"text":" both recommend a symptom-based approach, and caution against clinics that treat hormone numbers in isolation. Women are also wise to be skeptical of programs built around selling lab panels first and asking questions later."}],"markDefs":[{"_key":"05a3c2b384d5","_type":"externalLink","linkType":"text","url":"https://www.backtable.com/shows/obgyn/articles/menopause-hormone-levels-therapy"}],"style":"normal"},{"_key":"19092496e46e","_type":"block","children":[{"_key":"3c2e721c82be0","_type":"span","marks":[],"text":"“Menopause is not a disease that needs to be treated,” says Courtney Domingo, a perimenopause and menopause provider at Tia. “We focus on managing the symptoms that accompany hormonal changes so women can live a vibrant, full life. A lab value is one piece of data. What a woman is actually experiencing tells us far more.”"}],"markDefs":[],"style":"normal"},{"_key":"c457da4440aa","_type":"block","children":[{"_key":"09e9baac7fbf0","_type":"span","marks":[],"text":"Because symptoms can overlap with thyroid conditions, mood changes, and other issues, the goal is a full evaluation, not a single number. 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Perimenopause and menopause work much the same way. There is no single test that proves a woman is in it, and a woman's experience is the most important indicator."}],"markDefs":[],"style":"normal"},{"_key":"bde265c32587","_type":"block","children":[{"_key":"471b6de1a01a0","_type":"span","marks":[],"text":"Tia's approach is straightforward. The care team listens to a woman's symptoms, completes a thorough evaluation, and orders testing only when it would meaningfully change the plan. From there, the team partners with each woman on a personalized plan to help her feel like herself again."}],"markDefs":[],"style":"normal"},{"_key":"aed1c1535d98","_type":"block","children":[{"_key":"92cbf742783f0","_type":"span","marks":[],"text":"Women who suspect they are in perimenopause or menopause can start with a "},{"_key":"1f54a3e5e662","_type":"span","marks":["00b698a7cf1a"],"text":"perimenopause assessment at Tia"},{"_key":"e258ca35c80a","_type":"span","marks":[],"text":". It is built to evaluate symptoms and cycle patterns first, with labs used thoughtfully when they add real value."}],"markDefs":[{"_key":"00b698a7cf1a","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/menopause-preimenopause-assessment/"}],"style":"normal"},{"_key":"7f694da64a2a","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"4945361f2c77","_type":"block","children":[{"_key":"f19a1d56b22e0","_type":"span","marks":["fontSerif"],"text":"Think you might be in perimenopause or menopause?"}],"markDefs":[],"style":"h2"},{"_key":"9eb3e2f542de","_type":"block","children":[{"_key":"3599407026310","_type":"span","marks":[],"text":"Book a hormone and vitality assessment to discuss your symptoms and cycle patterns. 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You’re not alone. Many women notice new anxiety, fatigue, brain fog, or irregular periods and wonder if these shifts mean perimenopause or menopause."}],"markDefs":[],"style":"normal"},{"_key":"65d22b1d24b3","_type":"block","children":[{"_key":"3842580f906a0","_type":"span","marks":[],"text":"At Tia, we believe your hormones tell part of the story, but your symptoms tell the truth. This guide breaks down what’s happening, how to recognize the signs, and why a holistic women's health, symptom-based approach can bring real clarity."}],"markDefs":[],"style":"normal"},{"_key":"e4041869ddda","_type":"sectionHeader","headerLevel":"h2","title":"Perimenopause vs. Menopause: What’s the Difference?"},{"_key":"fbc51cca1aa1","_type":"block","children":[{"_key":"e12589ad06280","_type":"span","marks":[],"text":"Perimenopause is the natural transition leading up to menopause, when your ovaries begin producing less estrogen. It is marked by hormonal changes and can start in your late 30s or 40s and last anywhere from a few years to a decade¹."}],"markDefs":[],"style":"normal"},{"_key":"0f07a48b2d44","_type":"block","children":[{"_key":"facd8a57fc310","_type":"span","marks":[],"text":"Menopause is a single point in time when you’ve gone 12 consecutive months without a period². The average age for menopause in the U.S. is 51 years old³."}],"markDefs":[],"style":"normal"},{"_key":"d3fdf659b0b6","_type":"block","children":[{"_key":"32b0e0a78f890","_type":"span","marks":["em"],"text":"More than 1 million women in the U.S. reach menopause each year, yet most aren’t prepared for the years of hormonal fluctuation that come before it⁴."}],"markDefs":[],"style":"normal"},{"_key":"edd46cd32cfe","_type":"sectionHeader","headerLevel":"h2","title":"What Are the Early Signs of Perimenopause?"},{"_key":"0b3ac73bd299","_type":"block","children":[{"_key":"c110ca7265910","_type":"span","marks":[],"text":"No two women experience this transition the same way. Symptoms can ebb and flow, sometimes appearing years before your last period. Your period may arrive earlier or later, skip months, or shift in flow. Irregular periods are often the first sign of perimenopause."}],"markDefs":[],"style":"normal"},{"_key":"c216977220dd","_type":"sectionHeader","headerLevel":"h3","title":"Changes in Your Cycle"},{"_key":"657898db28f4","_type":"block","children":[{"_key":"b4a2fb2e61900","_type":"span","marks":[],"text":"Your period may arrive earlier or later, skip months, or shift in flow. Cycle irregularity is often the first sign of perimenopause ⁵."}],"markDefs":[],"style":"normal"},{"_key":"e182e3633ff6","_type":"sectionHeader","headerLevel":"h3","title":"Physical Changes "},{"_key":"275d9eb27793","_type":"block","children":[{"_key":"86fe2eb819b70","_type":"span","marks":[],"text":"Hot flashes, night sweats, fatigue, sleep disturbances, and weight gain are among the most common symptoms ⁶. You might also notice joint aches, vaginal dryness, libido changes, or changes in your hair and skin as estrogen levels fluctuate⁷."}],"markDefs":[],"style":"normal"},{"_key":"82b5b71491fb","_type":"sectionHeader","headerLevel":"h3","title":"Mood & Mental Shifts "},{"_key":"bb2104c79ef1","_type":"block","children":[{"_key":"2d1f08d16fef0","_type":"span","marks":[],"text":"Mood swings, irritability, anxiety and perimenopause-related mood shifts, and “brain fog” are all linked to hormonal changes that affect neurotransmitters and sleep ⁸ ⁹."}],"markDefs":[],"style":"normal"},{"_key":"4b86dd3d3102","_type":"sectionHeader","headerLevel":"h3","title":"How to Know If It’s Menopause"},{"_key":"b98e363c72d5","_type":"block","children":[{"_key":"8224266dd8cd0","_type":"span","marks":[],"text":"You’re considered “post menopausal” once you’ve gone 12 months without a menstrual period¹⁰. Many of the same symptoms may persist for several years as your body adjusts to lower estrogen levels¹¹."}],"markDefs":[],"style":"normal"},{"_key":"560eaca71112","_type":"cta","backgroundColor":"bccream","text":[{"_key":"76ca8e8054ec","_type":"block","children":[{"_key":"04038b983f190","_type":"span","marks":[],"text":"Some women transition smoothly; others feel like their body has changed overnight. Both are normal and both deserve care and validation."}],"markDefs":[],"style":"large"}]},{"_key":"a178a12eeba5","_type":"sectionHeader","headerLevel":"h2","title":"Why At-Home Hormone Tests Can Be Misleading"},{"_key":"43f768169948","_type":"block","children":[{"_key":"c32bb8c767460","_type":"span","marks":[],"text":"It’s tempting to want a clear answer from a test, but during perimenopause your hormone levels (like estrogen and FSH) can swing dramatically from day to day¹². A single test might look “normal” one week and completely different the next, which is a hallmark of hormone changes."}],"markDefs":[],"style":"normal"},{"_key":"a702453456db","_type":"block","children":[{"_key":"f5b94028e8ff","_type":"span","marks":["em"],"text":"At-home hormone tests may not account for this natural fluctuation and can lead to confusion or misdiagnosis ¹³."}],"markDefs":[],"style":"normal"},{"_key":"c8998347a4d8","_type":"block","children":[{"_key":"acd24247177b0","_type":"span","marks":[],"text":"At Tia, we use lab testing when appropriate, to rule out conditions like thyroid disorders, but we don’t rely on one number to define your stage. Your symptoms, history, and overall health picture matter more - this is the core of our holistic women's health approach."}],"markDefs":[],"style":"normal"},{"_key":"18657fa1014c","_type":"sectionHeader","headerLevel":"h2","title":"When to Reach Out for Support"},{"_key":"e5253ff307cc","_type":"block","children":[{"_key":"9f24a69bf5d40","_type":"span","marks":[],"text":"If your symptoms are disrupting your life, like your sleep, your relationships, your sense of self, it’s time to check in. You don’t have to “tough it out.” Care that centers your experience and listens to your body can make this next chapter one of "},{"_key":"9f24a69bf5d41","_type":"span","marks":["em"],"text":"vitality"},{"_key":"9f24a69bf5d42","_type":"span","marks":[],"text":", not chaos."}],"markDefs":[],"style":"normal"},{"_key":"d3610c4f8a4a","_type":"sectionHeader","headerLevel":"h2","title":"Common questions about perimenopause & menopause "},{"_key":"9990df0e31db","_type":"sectionHeader","headerLevel":"h3","title":"Can you test for perimenopause?"},{"_key":"02848cbb71c7","_type":"block","children":[{"_key":"aa6fefbdb9170","_type":"span","marks":[],"text":"There’s no single test that can confirm it. Providers diagnose based on age, symptoms, and medical history¹⁶, which is why a proper perimenopause diagnosis relies on clinical assessment. While levels of FSH and estrogen can be measured, their fluctuation during this time means bloodwork is often supportive, not definitive. 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