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Highlighting Menopausal Health and Osteoporosis Options

Frank Bonura, MD, Discusses the Unique Solutions Avaliable to Women in Suffolk County, Long Island

Siena Women’s Health offers a unique blend of expertise and experience to support women in premenopause and menopause.

Q: Why was the menopausal health program established at Siena Women’s Health?

Dr. Bonura: Younger generations can no longer afford the rising prices of homes and taxes in our area. So, in the past 10 to 15 years, our population has skewed toward an older demographic. Approximately 385,000 women living in the Suffolk County community are in the menopausal transition or menopause. A menopausal woman’s medical needs are different from those of younger women. For the past decade, I have been working to establish a program that addresses the needs of those women.

Q: What types of services do you offer?

Dr. Bonura: In my practice, I offer menopausal and osteoporosis consultation, which includes DXA for osteoporosis screening, gynecological care, ultrasound, urodynamics and pelvic floor muscle exercises with biofeedback therapy.

Q: What role does your team play?

Dr. Bonura: We have specialists in various fields of medicine and surgery in our program who address the medical and surgical complications of menopause. Their areas of expertise include diabetes, cardiovascular disease, gastrointestinal problems, breast cancer, neurological disease, osteoporosis and weight management.

Q: Who would be a good candidate for menopausal and osteoporosis treatments in your practice?

Dr. Bonura: We provide treatment options for women who experience hot flashes and night sweats, which can cause insomnia, irritability and mood swings that affect quality of life. Additionally, we address the genitourinary syndrome of menopause, which consists of anatomical changes of the external genitalia, lower urinary tract and vagina. Symptoms associated with genitourinary syndrome include vaginal dryness, discharge, burning and painful intercourse. These symptoms can cause sexual dysfunction, urinary urgency and frequency, urinary stress incontinence, overactive bladder, and frequent urinary tract infections. We also offer screenings, workup and treatment for women who have osteoporosis.

Q: What training did you complete to specialize in this area of medicine?

Dr. Bonura: I am a credentialed Menopausal Practitioner certified by The North American Menopause Society. I am also a Certified Clinical Densitometrist, a designation that is awarded by the National Commission for Certifying Agencies.

Q: What is the most rewarding part of your work?

Dr. Bonura: We finally have a comprehensive program dedicated to menopausal health in our community. At the present time, it is the only program of menopausal health in Suffolk County. Hopefully other institutions will follow our lead and establish their own programs for women living through the menopausal transition and menopause.

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