Menopause: A Time of Self-Reflection and New Opportunity.

Did you know that by the year 2020 over 60, 000 women will be experiencing the time in their life known as menopause? Menopause is not a disease; it is a life process. Menopause is a time for a woman to shift from taking care of others to begin taking care of herself, a rebirth of the female spirit. Releasing our fertility can be a deeply empowering process where we focus on ourselves without the responsibilities that come with raising a family. Menopause can be a time for deep introspection, a tremendous opportunity for physical, mental, emotional, and spiritual change. Menopause is defined as a time in a woman's life when she has not menstruated for one full year. Peri-menopause is known as the time in a woman's life prior to menopause where a woman is still menstruating but is beginning to experience some symptoms. Menopause for every woman is unique.

On September 10, 2003 Reuters health reported that the state of confusion among menopausal women is so great that the FDA decided to step in and create a web site designed to answer some basic questions that women have regarding hormone replacement therapy (HRT). The confusion started in July of 2002 when the Women's Health Initiative, a study of 16,000 women conducted to determine the effects of HRT was prematurely stopped by the investigators due to the increased risk of heart disease, strokes, heart attacks, and breast cancer for women taking Prempro. Prempro is a combination form of HRT containing Premarin, synthetic estrogen derived from pregnant horse urine, and Provera, synthetic medroxyprogesterone acetate.

The Women's' Health Initiative was initially conducted to see if HRT would be protective against heart disease, cognitive decline, cancer, osteoporosis, and aging. It was determined that in addition to increased risks of cancer, strokes and heart disease, conventional HRT does not prevent dementia or alter its progression. Conventional HRT was shown to be protective against osteoporosis and colon cancer but the benefits of these two did not outweigh the risks.

Unfortunately, no study was conducted using natural bio-identical hormones that are reflective of the actual hormones we make in our bodies. The speculation is that natural hormones are better and may not have the risks associated with them that synthetic hormones do.

Do hormones help with menopause?
Yes, hormones can help alleviate the symptoms of menopause by boosting your body's hormone levels. Hormones can also be used trans-dermally to assist with vaginal dryness.

Should any women avoid using hormones?
Yes, the list includes: women with liver disease, heart disease, blood clots, a history of cancer, vaginal bleeding, or who think they may be pregnant.

I am having menopausal symptoms what is the best therapy for me?
By far the best therapy for you is going to a doctor who understands the health risks to women during the menopausal years.

These include: osteoporosis, cancer, heart disease, dementia, arthritis, diabetes, congestive heart failure, chronic obstructive pulmonary disease, and vaginal atrophy (a thinning of the vaginal walls). Then a thorough history must be taken to determine the reasons behind your symptoms.

Finally, a treatment plan will be developed that treats the causes of your symptoms with a way to help balance your hormones naturally through nutrition, nutritional supplements, and herbal remedies. I do suggest the use of topical estrogen cream for vaginal dryness and only use natural hormones in low dose as a quick fix until the underlying causes are taken care of.

For women who are on hormones the reasons why really need to be addressed along with an evaluation to see if the benefits out weigh the risks for them.

Are there natural ways to help my menopausal symptoms?
Yes, what you eat every day can help alleviate the severity of your symptoms. Foods that nourish your liver are crucial to hormone balancing. Taking vitamins and other supplements can help supply your body with the nutrients and co-factors to better use the hormones your body is producing. In some cases herbal remedies are used to enhance hormone utilization. Dietary modifications that will make the transition easier include:

I think that I am in peri-menopause how do I know?

The symptoms of peri-menopause can be seen between the ages of 35-55 years old.
Symptoms of peri-menopause include: night sweats, hot flashes, Anxiety/ Depression, Low libido/ Vaginal dryness, Irritability/ Mood swings, Insomnia/ Fatigue, Poor Memory/ Lack of concentration, Heart Palpitations, Urinary Incontinence.

I have heard that herbs can be dangerous, is that true?

When used inappropriately, especially when combined with pharmaceutical drugs, herbs can cause undesirable effects. The practitioner you choose must have knowledge of both herbs and their interactions with pharmaceutical drugs. A thorough history must be taken based on your individual risk factors in order to determine if herbs would be appropriate for you.

Is there a way to test my hormone levels?

Yes, I suggest saliva testing it is the best form of hormone testing available.

I heard that black cohosh could cause cancer?

In the latest study conducted on rats bread to have cancer, black cohosh was given in extremely high doses and shown to promote cancer growth. This study is unreliable in that the rats were given such high doses of the herb and unrealistic because they were already breed to have cancer.

Black cohosh is approved in Germany for the relief of menopausal symptoms and has been documented as far back as 1820 in the U.S. Black cohosh is thought to act on the pituitary gland to regulate excess LH secretion thereby balancing the hypothalamic-pituitary-axis.

A study conducted in Germany shows that black cohosh was more effective in relieving menopausal symptoms than either Estrogen or a placebo. I find Black cohosh to be very safe when taken in the appropriate dosage range.

Interested in the FDA web site mentioned above? Go to 4Women.gov.

Hudson, Tori, Womens Encyclopedia of Natural Medicine, Keats Publishing, Los Angeles, 1999.

JAMA, vol. 288 #3, Jul. 17, 2002, "Risks and Benefits of Estrogen Plus Progestin in Healthy Postmenopausal Women. Principle Results from the Women's Health Initiative Randomized Controlled Trail."