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May 02, 2013
  • Doctors define menopause as 12 consecutive months without a menstrual cycle, but the progression of menopause is a gradual one that can take several years. Symptoms of perimenopause or pre-menopause can begin as early as 10 to 15 years before you have your last period. In addition, a woman who has not begun menopause and has both of her ovaries removed — such as during a hysterectomy — undergoes surgical menopause.

    The Symptoms

    Hormone changes that happen around menopause affect every woman differently. For some women, the symptoms can be severe enough to disrupt their lives and emotional well-being. Seventy percent of women experience symptoms that can include:

    • Hot flashes
    • Night sweats
    • Mood swings
    • Urinary incontinence
    • Memory problems
    • Irregular periods
    • Loss of libido
    • Weight gain
    • Vaginal dryness
    • Problems sleeping
    • Depression
    • Anxiety

    When to See Your Doctor or Care Provider

    When menstrual cycles start to change — unusually heavy, irregular, or longer-lasting than normal — it’s time to see a medical professional. However, don’t assume that missing a couple of periods automatically means menopause. A medical professional needs to rule out pregnancy or other health issues.

  • (903) 877-7826

    Ralph J. Turner, MD Ralph J. Turner, MD


    Surgery /
    Gynecology /
    Hormone Replacement Therapy /
    Urogynecology /

    Board Certifications:

    Gynecology and Obstetrics

    HealthConnection Episodes: Female Viagra, Stress Incontinence

    Dr. Turner, a Fellow of the American College of Obstetricians and Gynecologists, has more than 30 years of experience as a gynecologist. He is an expert in treating pelvic, bowel, and bladder control problems as well as advanced gynecological and laparascopic surgery. Dr. Turner has undergone special training and is nationally certified to treat health problems associated with menopause.

  • FAQs

    • Who do I call about my medical needs between appointments?

      Our health care professionals work in small teams. Your physician’s office is your first contact for your medical needs. When you call with a medical concern, a health care professional will speak with you directly or consult with your physician and return your call. Please contact our office at (903) 877-7161 for assistance.
    • What hours can I call the clinic?

      Clinic personnel answer the telephones from 8:00 a.m. to 4:30 p.m. If your phone call is clerical, our office staff will assist you. If your call requires medical judgment, your call will be referred to your health care professional’s nurse who will return your call.
    • Can I call the clinic after 4:30 p.m.?

      You can call (903) 877-7161 after 4:30 p.m. Your call will be automatically connected to our answering service. The answering service contacts the covering physician, and he or she will return your call. A physician is on call after hours, holidays, and weekends to handle your urgent medical needs.
    • When will I receive my test results?

      For any results needing immediate or urgent attention, you will be called as soon as your healthcare provider decides on your best plan of care. All other test results will be mailed or discussed at your next clinic visit.
    • How do I get my prescriptions refilled?

      Please call your pharmacy 5 working days before you take your last dose of medication. Always call the pharmacy before picking up your medication to ensure your prescription has been filled. Federal law strictly controls narcotic medications. If your physician is unavailable to refill your narcotic prescription, another of our clinic physicians will review your request. Please be aware that this review may increase the time taken for the refill and lessen the quantity of medication refilled.
    • Who do I contact when I need to re-schedule or cancel a clinic appointment?

      If you need to re-schedule or cancel a clinic appointment, please call (903) 877-7161 so we can reschedule a more convenient appointment time.
    • How long will it take my provider to complete medical forms?

      Please allow 10 working days for your provider to complete medical forms for such things as medical supplies and durable medical equipment. Provide the forms with a stamped, self-addressed envelope, and we will mail the form to you when it is completed.
    • How do I get copies of records and tests?

      Please contact our office at (903) 877-7161. It typically takes about 10 working days to process your request.
    • Can I get my health information online?

      You can log in to myUTHealth, our secure online patient portal, to access your personal health and medical information, schedule appointments, and communicate with your provider. To enroll, you must have your email address and Medical Record Number. If you need assistance enrolling in the portal, obtaining health insurance, or other available benefits or resources, please contact our office at (903) 877-7161.
    • Who do I inform if my address, phone number, or insurance changes?

      At the time of your appointment, you can notify the front desk personnel of any changes, or you can call (903) 877-7161 and we will update your information.

      If you have an emergency such as sudden onset of severe chest pain, shortness of breath, severe bleeding, or loss of use of any extremity, call 911 or go to the nearest Emergency Room.

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