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ALL ABOUT MENOPAUSE
Menopause is defined as the cessation of menses for at least 12 consecutive months. It often occurs between ages 45 to 55 when there is inadequate production of hormones, particularly estrogen and progesterone. Menopause marks the beginning of a new phase in a woman’s life. What is PRE-Menopause? Premenopause is when menses will still occur but the body is deficient in progesterone. This can start as early as the mid-30s. Symptoms may include fibroids, tender or lumpy breasts, endometriosis, PMS, difficulty conceiving, migraines or headaches, memory loss, foggy thinking, heavy or light periods, depression and irritability. These are often attributed to the lack of progesterone, which is needed to balance the strong effects of estrogen. What is PERI-Menopause? This is the transition before the onset of menopause, usually 3 to 5 years prior. A woman may still have menses, but her estrogen levels can swing from very high to extremely low, fluctuating so much that her cycle becomes erratic. This can lead to times when there is no bleeding, or other times of heavy bleeding accompanied by severe cramps. Generally, when estrogen levels are too high, a woman experiences enlarged and tender breasts, bloating and irritability. When estrogen levels plummet, she may have confused thinking, lack of concentration, memory difficulties and vaginal dryness. What is POST-Menopause? These are the years following menopause. During this time, a woman's body settles into a lower estrogen state. Hormone production from the ovaries continues to decline and may eventually become non-existent. What is Premature Menopause? Some women may undergo full onset of menopause before the age of 40. Women at risk for this include those with inactive or removed ovaries, suppressed pituitary gland, or those with certain autoimmune diseases. |
MAJOR HEALTH RISKS
Inadequate levels of protective hormones can lead to many health risks. Consequently, there may be an increased risk of: • cardiovascular disease • osteoporosis and bone fractures • diabetes • high blood pressure • high cholesterol • incontinence • Alzheimer's disease |
COMMON SYMPTOMS
• hot flashes • sleep disturbances, insomnia • irritability, mood swings • anxiety, panic attacks • depression • fatigue • incontinence, urinary urgency • dry skin • dry vagina • memory loss • lack of concentration • loss of libido • inability to reach orgasm • enlarged, tender breasts |
TESTING
Testing usually includes blood and saliva tests (on day 21 of cycle) to check levels of FSH, LH, estrogen (specifically estradiol), progesterone, testosterone and DHEA. A bone mineral density test (BMD) and pelvic ultrasound should also be taken into consideration. Results of BMD are expected to increase after 1 year treatment with BHRT. Pelvic ultrasound will monitor the thickness of the endometrial lining (to detect tissue overgrowth due to excess estrogen levels). |
TREATMENT
Bio-identical hormone replacement therapy (BHRT) plays a significant role in managing menopausal symptoms. These natural hormones are not only manufactured from naturally-occurring plants such as soy and wild yam, but more importantly, they are molecularly identical to the hormones produced in your body. BHRT is tailor-made and formulated to suit your specific requirements by a compounding pharmacist, and can be conveniently used as a topical cream, troche (lozenge), or taken orally as capsules. Following a thorough review of your history, symptoms, and blood or saliva test, your doctor may prescribe a unique regimen for you. Combinations of bio-identical estrogen with progesterone and/or testosterone are commonly used. Treatment is always specific and on an individual basis, depending on the symptoms of each person. Therefore, the need for BHRT, its dosage, and the length of time for treatment remains an individual decision and varies greatly from woman to woman. Other ways of managing mild symptoms (e.g. hot flashes) include herbals such as black cohosh, red clover, chaste berry and genistein. Overall wellness also includes a healthy diet, exercise, and nutritional supplements such as vitamin B complex, vitamin A, calcium, magnesium and zinc. |