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Menopause is a natural transition in a woman’s life, typically occurring between the ages of 45 and 55. But for some, this shift begins far earlier. When menopause starts before age 40, it’s considered premature menopause, and when it occurs before age 45, it’s referred to as early menopause.

This change can be unexpected and distressing, especially for women who are still planning for children or are surprised by the symptoms. While aging is the most common cause of menopause, early onset can be linked to several other medical and lifestyle-related factors. Understanding these causes is an important part of protecting long-term health.

What Is Premature Menopause?

Premature menopause refers to the permanent end of menstruation before age 40. It results from the ovaries no longer producing typical levels of estrogen and progesterone, leading to the end of ovulation and menstruation.

The signs are similar to those of typical menopause and may include:

• Irregular or missed periods
• Hot flashes and night sweats
• Mood changes
• Vaginal dryness
• Decreased libido
• Difficulty sleeping
• Memory or concentration problems

Women experiencing these symptoms in their 30s or early 40s should speak with their physician. Premature menopause may affect not only fertility but also long-term cardiovascular, bone, and cognitive health.

Common Causes of Premature Menopause

1. Genetic Factors

In some cases, premature menopause runs in families. If a woman’s mother or sister went through menopause prematurely, there may be a hereditary component at play.

2. Autoimmune Conditions

Certain autoimmune disorders (such as thyroid disease, lupus, or rheumatoid arthritis) can cause the body to attack its own ovarian tissue, affecting hormone production and ovulation.

3. Medical Treatments

Cancer treatments, especially chemotherapy and pelvic radiation, may damage ovarian function. Similarly, surgical removal of the ovaries (oophorectomy) causes immediate menopause regardless of age.

4. Chromosomal Abnormalities

Genetic conditions such as Turner syndrome or fragile X syndrome can lead to early ovarian failure.

5. Smoking

Research shows that smoking is linked to earlier onset of menopause, likely due to its impact on estrogen levels and ovarian health.

6. Certain Infections

In rare cases, infections like mumps or tuberculosis may affect the ovaries and lead to premature menopause.

7. Idiopathic (Unknown Cause)

In some instances, no clear cause is identified. This is referred to as idiopathic premature menopause and accounts for a significant percentage of cases.

What Can Be Done About Premature Menopause?

While premature menopause is not reversible, there are ways to manage symptoms and reduce health risks.

1. Hormone Therapy (HT)

Estrogen replacement (sometimes combined with progesterone) is commonly prescribed to reduce symptoms and protect against bone loss or heart disease. HT is typically recommended for women with premature menopause until they reach the natural menopausal age, unless contraindicated.

2. Lifestyle Changes

• Bone Health:Calcium-rich foods, weight-bearing exercise, and vitamin D can help maintain bone strength.
• Cardiovascular Health:A heart-healthy diet, regular physical activity, and avoiding smoking support vascular health.
• Mental Well-Being:Counseling or support groups can be helpful, especially if premature menopause affects emotional health or family planning.

3. Fertility Preservation (When Applicable)

For women at risk of premature menopause due to medical treatments (such as chemotherapy), options like egg or embryo freezing may be discussed ahead of time.

4. Regular Screenings

Routine checkups, bone density tests, and heart health screenings are essential for premature menopause patients to monitor and manage long-term risks.

Compassionate Gynecologic Care for Every Stage of Life

The physicians at Houston Physician Hospital are experienced in diagnosing and managing premature menopause and its related health effects.

If you’re noticing symptoms of hormonal change before age 40, don’t wait to seek care. Early evaluation and treatment can make a lasting difference in your health and well-being. On the Gynecology page, you can scroll down and find a gynecologist who’s right for you. Then click their bio to visit their website and make an appointment.

When the heart’s natural rhythm slows down or becomes irregular, a pacemaker may be needed to help it maintain a steady beat. These small, battery-powered devices are implanted under the skin and connected to the heart with wires (leads) to deliver electrical impulses that regulate the heartbeat.

But not all pacemakers are the same. There are several types, each designed to support different heart conditions. If your physician has recommended a pacemaker, you may be wondering which type you need and how that decision is made.

Let’s explore the primary types of pacemakers, how they function, and what doctors consider when choosing the right one for a patient.

What Do Pacemakers Treat?

Pacemakers are typically used to treat bradycardia (a heart rate that is too slow), heart block (delayed or blocked electrical signals), or irregular rhythms caused by atrial fibrillation. Some devices are also used in heart failure patients to coordinate contractions between the heart’s chambers.

The goal of a pacemaker is to ensure that the heart maintains a rhythm that is strong and consistent enough to deliver oxygen-rich blood throughout the body.

The Three Main Types of Pacemakers

1. Single-Chamber Pacemaker

A single-chamber pacemaker has one lead placed in either the right atrium or right ventricle, depending on the specific condition.

• Who It’s For:Most often, single-chamber pacemakers are used for patients with atrial fibrillation who also have slow ventricular response or for patients with certain types of heart block.
• How It Works:It monitors the heart’s rhythm and sends an electrical signal when the rate drops below a set level. This signal stimulates the atrium (or ventricle) to contract.

2. Dual-Chamber Pacemaker

This device has two leads: one in the right atrium and one in the right ventricle. The pacemaker coordinates the timing between the two chambers so they beat in a natural sequence.

• Who It’s For:Dual-chamber pacemakers are commonly used in patients with atrioventricular (AV) block or sick sinus syndrome.
• How It Works:The device ensures that the atrium contracts first, followed by the ventricle, to preserve the heart’s natural pumping action.

3. Biventricular Pacemaker (Cardiac Resynchronization Therapy, or CRT)

This more advanced type has three leads: one in the right atrium, one in the right ventricle, and one in the left ventricle via a vein on the heart’s surface.

• Who It’s For:Biventricular pacemakers are used in patients with heart failure who have delayed electrical activation between the right and left sides of the heart.
• How It Works:By stimulating both ventricles to contract at the same time, CRT improves the heart’s efficiency and can reduce the symptoms of heart failure.

How Do Doctors Decide Which Pacemaker You Need?

Selecting the right type of pacemaker depends on several clinical factors, including:

• Heart Rhythm Diagnosis:Your exact rhythm disorder guides the type of device.
• Symptoms and Severity:Fatigue, fainting spells, or exercise intolerance may signal the need for more advanced pacing.
• Heart Structure and Function:Imaging studies and diagnostic tests help determine whether the heart’s chambers are properly synchronized.
• Age and Overall Health:The decision may also be influenced by other medical conditions, life expectancy, and how well a patient is likely to tolerate the procedure.

Before implantation, patients typically undergo tests such as an electrocardiogram or echocardiogram or wear a Holter monitor to evaluate their heart rhythm and determine pacing needs.

Personalized Cardiac Care for Your Rhythm Needs

The physicians at Houston Physicians Hospital specialize in diagnosing and treating rhythm disorders with the appropriate types of pacemakers. Whether you need a single-chamber, dual-chamber, or biventricular device, expert cardiac care is available to help restore and maintain your heart’s natural rhythm.

On the Heart and Vascular Center of Excellence page, you can scroll down and find a physician who’s right for you. Then click their bio to visit their website and make an appointment.

Carrying groceries. Lifting a suitcase. Moving a laundry basket. These simple tasks can suddenly feel impossible when you experience unexpected muscle weakness or pain. Many people attribute such symptoms to “getting older,” but difficulty lifting objects (especially when it’s new or worsening) should not be ignored.

There are a number of musculoskeletal and neurological reasons behind decreased strength or impaired movement. Some are temporary, while others require medical evaluation and treatment.

Understanding what might be behind the change is the first step toward resolving it.

When Everyday Lifting Becomes a Challenge

Lifting requires the coordination of muscles, joints, and nerves. When any part of this system becomes compromised, tasks like raising your arms above your head or lifting a moderately heavy object can become noticeably difficult or even painful.

Here are some of the more common causes behind muscle weakness and difficulty lifting:

Musculoskeletal Causes

1. Rotator Cuff Injuries

The rotator cuff is a group of muscles and tendons that stabilize the shoulder. Injuries to this area (such as strains, tears, or inflammation) can lead to pain, weakness, and limited range of motion. You might notice difficulty lifting your arm or holding weight away from your body.

2. Tendonitis or Bursitis

Inflammation of tendons (tendonitis) or the small fluid-filled sacs near joints (bursitis) can affect lifting ability. This often occurs in the shoulder, elbow, or wrist, especially after repetitive movements or overuse.

3. Arthritis

Osteoarthritis and other forms of joint inflammation can limit mobility and strength. In the upper body, arthritis may affect the shoulder, spine, or hands, making it difficult to grip or raise objects.

4. Muscle Strains or Tears

Overexertion, lifting with poor technique, or a previous injury can result in strained muscles. Even a mild strain can reduce functional strength until the muscle heals.

5. Frozen Shoulder (Adhesive Capsulitis)

This condition leads to stiffness and pain in the shoulder joint, limiting your ability to lift your arm. It tends to develop gradually and is often more common in individuals with diabetes or after a period of shoulder immobility.

Neurological Causes

1. Cervical Spine Disorders

Conditions such as a herniated disc or spinal stenosis in the neck can compress nerves that control arm and shoulder function. You may notice weakness, numbness, or tingling along with difficulty lifting.

2. Nerve Compression Syndromes

Issues such as carpal tunnel syndrome (in the wrist) or thoracic outlet syndrome (in the shoulder area) can interfere with nerve signals. These syndromes may affect your grip strength and coordination, making it hard to carry objects.

3. Neuromuscular Disorders

More rarely, progressive conditions such as muscular dystrophy, multiple sclerosis, or ALS (amyotrophic lateral sclerosis) may cause gradual muscle weakness and difficulty with lifting or holding objects. These conditions usually come with other symptoms and require specialized care.

4. Stroke or Transient Ischemic Attack (TIA)

Sudden weakness or loss of function on one side of the body should never be ignored. If you notice abrupt difficulty lifting one arm or leg, especially when paired with other symptoms like slurred speech or facial drooping, seek emergency medical attention immediately.

When Should You See a Doctor?

It’s important to differentiate between occasional soreness and ongoing functional loss. If you are consistently having trouble lifting everyday objects or find that your strength is not returning after rest, it may be time to consult a physician.

Seek medical evaluation if you experience:

• Sudden or unexplained weakness in the arm, hand, or shoulder
• Progressive loss of strength over time
• Pain that worsens with lifting or motion
• Numbness, tingling, or radiating pain
• Difficulty gripping or holding items
• Weakness following an injury or a fall

Early evaluation can help determine whether your symptoms are related to a muscle, joint, or nerve issue and guide you to appropriate treatment options.

Evaluating Muscle Weakness and Lifting Difficulties

The physicians at Houston Physicians Hospital specialize in diagnosing and treating the root causes of muscle weakness and difficulty lifting.

Whether the cause is muscular, joint-related, or neurological, seeking care early can help you regain strength and restore confidence in your movement.

On the Advanced Orthopedic & Spine Center of Excellence page, you can scroll down and find a physician who’s right for you. Then click their bio to visit their website and make an appointment.

The physicians at Houston Physicians Hospital treat neck pain, back surgery in Webster, TX, shoulder pain, and hip arthritis treatments in Webster, TX.

Forgetfulness is often seen as a normal part of aging, but not all memory lapses or attention issues can be explained by growing older. In fact, poor cognitive function can have many different causes—some reversible, some serious, and some that require early medical intervention.

Understanding what may be contributing to cognitive difficulties is the first step toward identifying effective treatment options. Whether you are noticing changes in your ability to think clearly, recall information, or maintain focus, it’s important not to assume that age is the only factor.

What Is Cognitive Function?

Cognitive function refers to a range of mental abilities that include memory, reasoning, language, attention, and problem-solving. These skills help us perform everyday tasks, from managing finances and following conversations to remembering appointments and making decisions.

When these functions become impaired, it can affect your independence, relationships, and quality of life.

Beyond Aging: Medical Causes of Poor Cognitive Function

Several medical conditions can contribute to cognitive decline. Unlike age-related memory lapses, these issues may appear suddenly, worsen quickly, or be associated with other symptoms.

1. Stroke and Ministrokes (TIAs)

Reduced blood flow to the brain, even for a short period, can cause long-term damage. In some cases, people may not realize they’ve experienced a ministroke, yet subtle cognitive changes appear over time.

2. Traumatic Brain Injury (TBI)

Even mild head injuries can affect attention, processing speed, and memory. The effects of a concussion or repeated head trauma may surface months or years later.

3. Neurological Conditions

Diseases such as Non invasive treatment for parkinson’s Houston, multiple sclerosis, and epilepsy can impair cognitive function over time. In many cases, these conditions affect not just physical health but also the brain’s ability to process information efficiently.

4. Mental Health Disorders

Depression, anxiety, and chronic stress can mimic or contribute to poor cognitive function. People experiencing these conditions may struggle with memory, concentration, and decision-making.

5. Sleep Disorders

Sleep apnea, insomnia, or poor sleep quality can interrupt the brain’s ability to rest and reset, leading to noticeable mental fatigue and poor performance during the day.

6. Nutritional Deficiencies

Lack of essential nutrients such as B12, folate, and omega-3 fatty acids can lead to reduced cognitive performance. In some cases, correcting the deficiency can restore mental clarity.

Lifestyle Factors That Impact Brain Health

Everyday habits can also influence how well your brain functions. While these factors may seem minor in isolation, together they can make a significant difference in long-term cognitive health.

1. Chronic Stress

Prolonged exposure to stress hormones can interfere with memory and focus.

2. Lack of Exercise

Physical activity supports blood flow to the brain and encourages the release of chemicals that support cognitive health.

3. Poor Diet

Diets high in sugar, processed foods, and unhealthy fats can contribute to inflammation, which is linked to cognitive decline.

4. Social Isolation

Limited social interaction has been associated with faster rates of mental decline, especially in older adults.

5. Excessive Alcohol Use

Alcohol can damage brain cells and impair the brain’s ability to form and retrieve memories.

When to Seek Medical Evaluation

Occasional forgetfulness is common. But when memory lapses become frequent, interfere with daily life, or are accompanied by other symptoms (such as confusion, personality changes, or language problems), it may be time to consult a specialist.

Early evaluation can help determine whether the symptoms are caused by a treatable medical issue, a more serious condition, or a combination of factors. In some cases, timely treatment may slow or even reverse cognitive decline.

You should consider speaking with a physician if you or someone close to you notices:

• Difficulty following familiar tasks
• Repeating questions or getting lost in familiar places
• Problems with language, judgment, or planning
• Unusual changes in mood or behavior

Understanding the Source of Cognitive Changes

The physicians at Webster Surgical Hospital are experienced in evaluating and treating causes of poor cognitive function.

On the Neurosurgery and Spine page, you can scroll down and find a neurosurgeon who’s right for you. Then click their bio to visit their website and make an appointment.

Don’t assume it’s just age. Let a trusted medical provider help you understand what’s really behind the changes you’re noticing.

Benign prostatic hyperplasia (BPH), or an enlarged prostate, is a common condition among aging men. By age 60, more than half of men will show some signs of BPH, and that number increases with each passing decade. While BPH is not cancerous, it can significantly affect a person’s quality of life. Symptoms such as frequent urination, weak urine flow, incomplete bladder emptying, and the sudden urge to urinate can interfere with daily activities and sleep.

For many patients, the thought of managing BPH with medication or surgery can seem overwhelming. But there is another option that is minimally invasive and effective and uses something as simple as water: water-induced thermotherapy, or WIT.

What Is Water-Induced Thermotherapy?

WIT is a treatment method designed to reduce the size of the prostate by using heated water delivered through a specialized catheter. This technique targets the excess prostate tissue causing urinary symptoms. The heated water circulates within a balloon at a controlled temperature, delivering thermal energy directly to the enlarged tissue. Over time, this treated tissue is naturally reabsorbed by the body, reducing pressure on the urethra and improving urinary flow.

WIT is FDA-approved and performed on an outpatient basis. It is considered nonsurgical, as it does not involve incisions, stitches, or general anesthesia. For many men, this makes it an appealing alternative to traditional surgical approaches.

How WIT Works

The procedure begins with the insertion of a soft, flexible catheter into the urethra. The catheter has a balloon that is inflated once in place. Heated water, typically at a temperature of 60°C (140°F), circulates within the balloon, transferring energy to the surrounding prostate tissue for a controlled period, usually around 45 minutes.

Because the heat is confined within the balloon and not released directly into the urethra or bladder, the surrounding tissues are protected. A cooling system is also used to maintain comfort and safety throughout the procedure.

After treatment, the body’s natural healing process gradually removes the treated tissue. Most patients begin to experience symptom relief within a few weeks, with full results becoming apparent in about three months.

Benefits of WIT for BPH

WIT offers several advantages for individuals with BPH:

• Minimally Invasive:No incisions or general anesthesia are required.
• Preservation of Sexual Function:There is a lower risk of side effects, such as erectile dysfunction or retrograde ejaculation, compared to more invasive procedures.
• Outpatient Procedure:Most patients return home the same day.
• Fast Recovery Time:Many men resume normal activities within a few days.
• Long-Lasting Results:Significant symptom improvement has been observed several years after the procedure.

Not all patients are ideal candidates for WIT, so it is important to consult with a urologist to determine whether this option is appropriate based on your individual condition and prostate size.

What to Expect After the Procedure

Following WIT, patients may experience some temporary urinary symptoms such as increased frequency, mild discomfort, or urgency. These symptoms typically subside within a few days to a week.

A catheter may remain in place for a short time following the procedure to support healing and ensure proper urine drainage. Pain management is usually minimal and handled with over-the-counter medications.

Most patients report gradual improvement in their BPH symptoms, with measurable relief in urinary flow and reduced nighttime urination.

Specialized Urologic Care, Close to Home

The experienced physicians at Houston Physicians Hospital offer WIT as a treatment option for patients with an enlarged prostate.

On the Urology page, you can scroll down and find a urologist who’s right for you. Then click their bio to visit their website and make an appointment.

Houston Physicians Hospital is committed to offering advanced treatment options with a personalized approach to care.

The ureteral reimplantation procedure is a surgical intervention designed to correct a condition known as vesicoureteral reflux (VUR). VUR occurs when urine flows backward from the bladder into the ureters, the tubes that carry urine from the kidneys to the bladder. This backflow can lead to recurrent urinary tract infections (UTIs) and, if left untreated, potentially cause kidney damage. This article provides essential information for patients considering this procedure at our physicians’ hospital in Webster.

Understanding Ureteral Reimplantation

Normally, the ureters connect to the bladder in a way that prevents urine from flowing back up toward the kidneys. However, in individuals with VUR, this connection is faulty. Ureteral reimplantation surgery aims to create a new, more effective connection, resolving the reflux and protecting the kidneys. The procedure involves detaching the ureter from its current position on the bladder, creating a new tunnel within the bladder wall, and reattaching the ureter within this tunnel. This new positioning ensures that the bladder muscle compresses the ureter during urination, preventing backflow.

Before the Procedure

Before undergoing ureteral reimplantation, a thorough evaluation by a urologist in Webster, TX, is necessary. This typically includes:

• Medical History and Physical Exam:Your doctor will review your medical history and perform a physical examination.
• Imaging Tests:Ultrasound, VCUG (voiding cystourethrogram), or other imaging studies may be used to assess the severity of the reflux and the anatomy of your urinary tract.
• Urine Tests:These tests can help identify any existing infections.

Your doctor will provide specific instructions regarding:

• Medications:You may need to adjust or temporarily stop taking certain medications before surgery.
• Fasting:You’ll receive instructions on when to stop eating and drinking before the procedure.

During the Procedure

Ureteral reimplantation is performed under general anesthesia. The surgical approach can vary, but common methods include:

• Open Surgery:This involves a small incision in the lower abdomen.
• Laparoscopic Surgery:This minimally invasive approach uses small incisions and a camera to guide the surgeon.
• Robotic Surgery:This is similar to laparoscopic surgery, but with robotic assistance for enhanced precision.

The specific technique used will depend on individual factors and the surgeon’s expertise. The surgery typically takes 2-3 hours. A catheter will be placed to drain urine from the bladder during the initial recovery period.

After the Procedure

Following surgery, you can expect:

• Hospital Stay:Typically, a 1-to-2-day hospital stay is required.
• Pain Management:Pain medication will be provided to manage any discomfort.
• Catheter:The catheter will remain in place for a short period to allow for healing.
• Activity Restrictions:You’ll need to avoid strenuous activity for several weeks.
• Follow-up:Regular follow-up appointments are crucial to monitor healing and ensure the procedure’s success.

Finding the Right Care

If you or a loved one is considering ureteral reimplantation, finding an experienced urologist in Webster, TX, is essential. Houston Physician’s Hospital offers comprehensive urological care, with skilled surgeons experienced in performing this procedure.

On the Urology services page, you can scroll down and find a urologist who’s right for you. Then click their link to visit their website and make an appointment.