Dr. Prema Kothandaraman offers her patients the most effective treatment options possible for menopause and other gynecological issues. At Hero OB/GYN, the doctor and her staff provide services to many California residents, including those in Arcadia and the surrounding communities.
Menopause can start to occur anywhere from the late 30s to the mid-40s. Each woman will begin menopause according to her own biological clock. Someone may enter peri-menopause in which the symptoms are extremely mild. Mood swings, fluctuations in the duration and intensity of periods, headaches, weight gain, bloating, and vaginal discomfort are common symptoms that characterize menopause. As the symptoms begin to worsen, the woman may notice changes in the texture and tone of her skin, as well as pain during intercourse. Another big change for many women is the lack of sex drive. Hormone replacement therapy can begin to correct many of the symptoms.
Sexual dysfunction can be characterized in different ways. For some women, it can mean an there sex drive goes into high gear and they are constantly aroused. Other signs of sexual dysfunction that occurs near menopause can include painful intercourse that is caused by the walls of the vagina becoming dry and irritated. The thinning of the tissues can make sexual intercourse extremely painful. Sexual dysfunction can also mean the inability to reach an orgasm during intercourse or not being able to be fully aroused. Hormone fluctuations caused by obesity or menopause can also trigger various types of dysfunction when it comes to sexual activity.
When a woman enters menopause, their hormone levels begin to change. The body no longer releases the amount of estrogen that is needed to maintain proper function within the reproductive system. Estrogen also has an effect on other bodily processes as well. Hormones interact throughout the body, acting as catalysts to trigger other responses and reactions. When a woman's estrogen levels drop and menopause begins, the reactions can cause changes in the release of thyroid hormones as well as growth hormones in the brain. When menopause occurs and estrogen levels begin to drop, the effects are felt throughout the entire body.
If you don’t see your insurance company listed above, please check with the office, since we might be still contracted with them without being listed here. Uninsured? Under-insured? Can’t afford private Insurance Plans? We have several options if you are un-insured, under-insured or cannot afford private Insurance. The doctor can provide service on a cash basis with payment plans. Contact the office for fee schedule. For cash patients we offer two monthly installment payment options with Care Credit and Lending USA. We outsource our billing service. Please contact them at 818-265-308.
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"I feel blessed to have Dr. Prema as my physician... Dr. Prema's loving, warm, and reassuring presence calmed me and made me feel comfortable"
"Dr. Prema and her staff are amazing! Dr. Prema is an outstanding doctor who genuinely cares for her patients"
"...She didn't rush me and showed a lot of compassion. I will definitely continue seeing Dr. Preema"
"Dr.Prema is really professional and respectful. She listens to you and listens to what u need and does everything she can to do things right"
"The nurses were great. And Dr Prema has a great bedside manner. I felt comfortable and at ease instantly."
"Ladies if your having bladder problems Dr. Perma is the way to go. I'm repaired and very happy with the results"
"Dr Prema is the best! She's very caring and reassuring, I'm seeing her for my first pregnancy and I have had a great experience."
"I have been a patient for 2 years and am very happy with Dr. Prema. She explains everything very clear and answers any questions I have ."
"Dr. Prema is AWESOME. She's straight up but nice, informative but not overwhelming, practical and just great. "
"Best caring & suppotive ob/gyn. She will take time and guide throughout your pregnancy process. I highly recommend her!"
" I have found that Dr. Prema, and her staff are my favorite. They are all very kind and courteous and always helpful. "
"Dr. Prema Kothandaraman, MD is one of the country's top ranked doctors, specializing in obstetrics & gynecology."