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Barb DePree, MD, NCMP,MMM

Director of the Women's Midlife Services at Holland Hospital

Holland, MI

Dr. Barb DePree, a gynecologist in practice for over 30 years, specializes in midlife women's health. She is certified through the North American Menopause Society as a provider, and was named the 2013 NAMS Certified Menopause Provider of the year. Dr. DePree currently serves as the director of the Women’s Midlife Services at Holland Hospital, Holland, Michigan. In 2018, she completed a certification in Genetic Cancer Risk Assessment.

A member of NAMS, ACOG and ISSWSH, Dr. DePree has been a presenter for the ACOG CME audio program. She has served as a key opinion leader for Shionogi, AMAG, Duchesnay, Valeant, Wyeth and Astellas leading physician education, and participating in research projects and advisory panels.

Finding that products helpful to her patients’ sexual health were not readily available, Dr. DePree founded that shares practice-tested, clinically sound information and products, including guidance for working with partners and caregivers. Dr. DePree publishes regularly on her own blog, providing updates on research in women’s sexual health, as well as observations and advice based on her work with women in her practice. Sharecare named her as a Top 10 Social Healthmaker for Menopause in September of 2013. In 2017, she was named among the “Top 10 Best Menopause Blogs” by Medical News Today. Dr. DePree also publishes podcast interviews on women in midlife, exploring the ways they have made the transition in their lives and careers.

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Help Your Doctor Talk About Sex

Help Your Health Care Professional Talk About Sex

If you need help talking about sex with your health care professional, here are some tips to help you prepare for and focus the discussion.

Menopause & Aging Well

Menopause care specialists gather at the annual North American Menopause Society's meeting to share information about the latest research and standards of care. I always appreciate the opportunity to catch up with colleagues and share experiences and helpful resources. Much of what I hear is affirmation of what we've recently discussed in my blogs at MiddlesexMD and HealthyWomen, but there are also new information and perspectives, which I'll share as I work through my notes from several very full days.

Dr. Sharon Parish, who teaches at Weill Cornell Medical College, educated about "epidemiology and classification." She also talked about how doctors like me can improve at communicating with our patients—women like you—about sexual health. The fact that this presentation was offered to a room full of professionals who are caring for midlife women confirms an issue we've discussed for a number of years: Not every doctor is comfortable with a conversation about sex.

Read more about When Sex Hurts, It's Time to Seek Help.

The presentation also makes clear: We in the medical field recognize the issue and we're working on it. In the meantime, you can help your health care professional by anticipating what she or he needs to know to be helpful to your managing your sexual health. These are the highlights of what Sharon recommends doctors include in an assessment; when you're headed to an appointment, think them through, make some notes, and if you're not asked, still tell!

The nature of the problem. What's the "presenting issue"? Pain with intercourse? Uncomfortable dryness? Lack of desire?

When the problem occurs. Are there specific times or steps in a process when you see symptoms? Do you experience the symptom all the time or only during some activities?

Lifelong vs. acquired. Is the problem something you've always dealt with but it's now worse? Or is it entirely new? Did it come on gradually or suddenly? What did you first notice and when?

Contributing factors. It can be difficult to identify these in yourself, but spend some time reflecting. Are you depressed or anxious? Have you suffered a trauma? Is there stress or discontent in your relationship? Have you changed your lifestyle in any way?

Exacerbating and alleviating factors. What makes symptoms better? What makes symptoms worse? What have you tried thus far, if anything, and what's been the effect?

Impact and distress. What's the impact of this problem on your health, relationship, and life? What is it that motivates you to seek help now?

When you bring this information in to a conversation with your health care provider, he or she will have a solid starting point to addressing your problem—and you'll have signaled that you're entirely comfortable with talking about sex. Which, in 2018, is apparently still a step we need to take.

Barb DePree, MD, has been a gynecologist for 30 years, specializing in menopause care for the past 10. Dr. DePree was named the Certified Menopause Practitioner of the Year in 2013 by the North American Menopause Society. The award particularly recognized the outreach, communication and education she does throughMiddlesexMD, a website she founded and where this blog first appeared. She also is director of the Women's Midlife Services at Holland Hospital, Holland, Michigan.

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