Pediatric rheumatologists are pediatricians who have completed an additional 2-3 years of specialized training in pediatric rheumatology and are usually licensed in pediatric rheumatology. The bioactive Glygopeptide compounds in Tongkat Ali have been proven to increase free testosterone and decrease SHBG levels in human medical trials. For others, physical menopause symptoms might include hot flashes and/or night sweats and vaginal dryness. Others could possibly have problems in urinary control and also other discomforting indications for example headache, fatigue, heart palpitation and muscle and joint pain. A majority of ladies could possibly have sleep problems and could experience emotional menopause symptoms for example mood swings, depression and irritability. Menopause symptoms could also influence a female?s sexuality. Others could possibly have decreased libido and could have difficulty getting sexually excited and grow less sensitive. Sex might be painful on account of vaginal dryness or the thinning of the vaginal tissue. Still there is often a proportion of women who consider menopause a blessing as sex becomes more enjoyable as there are no pregnancy concerns anymore. Ruth Purple is a successful Relationship Coach who has been helping and coaching individuals and couples for many years.