Bioidentical Hormones for Perimenopause Symptoms and Treatment by Dr. Angela Agrios, ND


Uploaded by LarryCook333 on 23.05.2010

Transcript:
jbjb{x{x Perimenopause Perimenopause is the normal transition period between when we have
regular menstrual cycles and the cessation in menstrual cycles. So another way of saying
this is that perimenopause is the time period between fully functional ovaries and when
our ovaries are no longer functional and are no longer putting out hormones. Typically,
this is going to happen for a woman in her mid- to late forties. It can happen when she
s younger, and it can happen when she s older. But that s a pretty typical timeline mid-forties
to late forties. Our ovaries are responsible for the production of estrogen, progesterone,
and testosterone. Our adrenals do make a little bit of hormone they do make some progesterone
and some testosterone, and we ll also get a little bit of estrogen production from the
fat cells in our body. But our ovaries are the primary producers of our sex hormones.
As ovarian function declines, the primary thing that s dramatically going to stand out
in perimenopause is the decline in progesterone. A lot of the symptoms that women have during
the perimenopause period really have to do the bottoming-out of progesterone. Any time
progesterone is low in relationship to estrogen, we call this estrogen dominance. And estrogen
dominance can set up many symptoms for women: a woman might start to have a lot of anxiety;
she might start to have a lot of irritability or mood swings; she might notice that she
s no longer sleeping well, or that she actually has insomnia. She might have low libido. She
might have symptoms that resemble PMS: she might have things that look like breast tenderness,
or her periods may actually become too frequent or her bleeding could become very heavy. When
a woman has these symptoms, she may go to visit her doctor, and her doctor may end up
giving her separate drugs for each of these different symptoms. For example, she may be
given a drug like Ambien for the insomnia, she may be given Xanax for the anxiety; she
may be given Prozac for the depression and the problem is none of these drugs are actually
addressing the root cause, which is that she has a hormone deficiency or an imbalance.
And in addition to not addressing the root cause of the problem, she may actually experience
side effects from the medications she s now been put on. Some doctors recognize that these
symptoms are related to low hormone levels, or imbalanced hormone levels, and they ll
choose to prescribe synthetic hormones like oral contraceptives and Provera. Oral contraceptives
are often used to help regulate irregular cycles, and Premarin is often used to help
bring up low estrogen levels, whereas Provera is used to bring up low progesterone levels.
There s another way of doing hormone replacement, and that s with bioidentical hormones. Bioidentical
hormones are plant-derived and under the microscope, look identical to human hormones. The advantage
of using bioidentical hormones is that all of perimenopausal symptoms, and any symptoms
associated with hormone deficiency or imbalance will be alleviated without the side effects
or symptoms of synthetic hormones. If a woman is experiencing the symptoms I mentioned earlier,
or thinks she s in perimenopause, I recommend that she seek out a naturopathic doctor. A
naturopathic doctor can take a thorough history, perform a physical exam, and order appropriate
labs. Labs would include blood, saliva, and urine, and based on all that information,
a naturopathic doctor can put together an individualized treatment plan. A typical treatment
plan that I would prescribe contains a section on diet, lifestyle, supplements, and bioidentical
hormones. In the diet section, I make recommendations that a woman decrease her alcohol, caffeine,
sugar, and refined foods. I also advise that she increase the amount of whole, organic
foods she s eating, and that she increase her consumption of vegetables. I also advise
that she increase the amount of fiber she s taking in, and that she increase the amount
of water that she s taking in to half of her body weight in ounces per day. And under the
lifestyle section, I recommend that 30-5 minutes of some type of movement occur daily this
is really important to help improve circulation of blood and lymph. In the supplements section,
I ll prescribe B vitamins, I ll prescribe essential fatty acids like fish oil and evening
primrose oil, I ll prescribe magnesium, and I ll also prescribe vitamin E. these are essential
nutrients for hormone regulation. If a woman has a lot of stress in her life, I ll also
put her on an adrenal support formula, and if there s any indication that her liver needs
support, I ll also put her on a liver support formula. Finally, I prescribe a custom formulation
of bioidentical hormones. The bioidentical hormones are compacted into a cream base that
my patients apply to their skin every day. And after just a few short months, my patients
experience a complete resolution of their perimenopause symptoms. h(Kt gd(Kt :p(Kt Perimenopause
Larry Cook Normal Larry Cook Microsoft Word 11.5.6 PICT`B MSWD Cambria Perim nopause Perimenopause
is the ormal transition period between when have regular menstrual cycles and t cessation
nstrual cycles. another saying this is that perimen time period etween fully functional
ovaries n our ov ries longer functional longer putting hormones. 9Typically, this is going
to happen for a woman in her mid to late forti *happen when she s younger, and it can happ
n when older. pretty typical tim eline )!=forties to late forties. Our ovaries are responsible
for the .production of estrogen, progesterone, and test sterone. adrenals make little bit
of hormone they do make s esterone some osterone, ll also get a little bi t of estrogen production
from cells body. ovaries are the primar producers ormones. As ovarian function de lines, the
primary thing that dramatically stand out in perimenopause decline proges erone. A lot
of the symptoms that women have d ring perimenopause eriod really have ttoming out Bof progesterone.
Any time progesterone is low in relationship to e trogen, call this estrogen domina estrogen
dominance ymptoms for women: a woman mi start have anxiety; might start have irritability
or mood sw ngs; might notice that longer sleep well, Ithat she actually has insomnia. She
might have low libido. She might have symptoms that resemble P might have things that like
breast tenderness, periods may actually b come frequent bleeding could very =When a
woman has these symptoms, she may go to visit her doct doct y end up giving her eparate
drugs each these different symptoms. example, she may be g drug like Ambien insomnia, given
Xanax for the anxiety; given Prozac for depression and the problem is none of these drugs actually
ressing root cause, which that hormone deficiency or imbalanc addition addressing root Ecause
of the problem, she may actually experience side effects from t medications s now been
put on. Some doctors recogniz that these symptoms related low ho mone levels, imbalanced hormone
levels, they choose to prescribe synthetic hormones li oral contraceptives Provera. Oral
ontraceptives are often used to help regu irregul ar cy les, Premarin often used help
bring -up low estrogen levels, whereas Provera is us bring gesterone levels. There s another
way of doing replacement, that with oidentical (hormones. Bioidentical hormones are plan
ived under oscope, look Ridentical to human hormones. The advantage of using bioidentical
hormones is that *u*all of perimenopausal symptoms, and any sy ptoms associated with
hormone /deficiency or imbalance will be alleviated with side effects or s mptoms synthetic hormones.
+If a woman is experiencing the symptoms I m ntioned earlier, thinks perimenopaus recommend
that seek naturopathic doctor. ,naturopathic doctor can take a thorough hist perform phys
ical xam, order appropriate labs. Labs would include saliva, urine, based University of
Colorado Health Sciences Center Perimenopause Title Microsoft Word Document NB6W Word.Document.8
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Perimenopause Title typi treatment plan would pres ribe conta secti on on Perimenopause
Larry Cook Normal Larry Cook Microsoft Word 11.5.6 PICTe MSWD Cambria Perimenopause is
the ormal transition period between when have regular menstrual cycles and t cessation nstrual
cycles. another saying this is that perimen time period etween fully functional ovaries
n our ov ries longer functional longer putting hormones. 9Typically, this is going to happen
for a woman in her mid to late forti *happen when she s younger, and it can happ n when
older. pretty typical tim eline )!=forties to late forties. Our ovaries are responsible
for the .production of estrogen, progesterone, and test sterone. adrenals make little bit
of hormone they do make s esterone some osterone, ll also get a little bi t of estrogen production
from cells body. ovaries are the primar producers ormones. As ovarian function de lines, the
primary thing that dramatically stand out in perimenopause decline proges erone. A lot
of the symptoms that women have d ring perimenopause eriod really have ttoming out Bof progesterone.
Any time progesterone is low in relationship to e trogen, call this estrogen domina estrogen
dominance ymptoms for women: a woman mi start have anxiety; might start have irritability
or mood sw ngs; might notice that longer sleep well, Ithat she actually has insomnia. She
might have low libido. She might have symptoms that resemble P might have things that like
breast tenderness, periods may actually b come frequent bleeding could very =When a
woman has these symptoms, she may go to visit her doct doct y end up giving her eparate
drugs each these different symptoms. example, she may be g drug like Ambien insomnia, given
Xanax for the anxiety; given Prozac for depression and the problem is none of these drugs actually
ressing root cause, which that hormone deficiency or imbalanc addition addressing root Ecause
of the problem, she may actually experience side effects from t medications s now been
put on. Some doctors recogniz that these symptoms related low ho mone levels, imbalanced hormone
levels, they choose to prescribe synthetic hormones li oral contraceptives Provera. Oral
ontraceptives are often used to help regu irregul ar cy les, Premarin often used help
bring -up low estrogen levels, whereas Provera is us bring gesterone levels. There s another
way of doing replacement, that with oidentical (hormones. Bioidentical hormones are plan
ived under oscope, look Ridentical to human hormones. The advantage of using bioidentical
hormones is that *v*all of perimenopausal symptoms, and any sy ptoms associated with
hormone /deficiency or imbalance will be alleviated with side effects or s mptoms synthetic hormones.
+If a woman is experiencing the symptoms I m ntioned earlier, thinks perimenopaus recommend
that seek naturopathic doctor. ,naturopathic doctor can take a thorough hist perform phys
ical xam, order appropriate labs. Labs would include saliva, urine, based that information,
a n turopathic doctor together individuali treatment pla jbjb{x{x Perimenopause Perimenopause
is the normal transition period between when we have regular menstrual cycles and the cessation
in menstrual cycles. So another way of saying this is that perimenopause is the time period
between fully functional ovaries and when our ovaries are no longer functional and are
no longer putting out hormones. Typically, this is going to happen for a woman in her
mid- to late forties. It can happen when she s younger, and it can happen when she s older.
But that s a pretty typical timeline mid-forties to late forties. Our ovaries are responsible
for the production of estrogen, progesterone, and testosterone. Our adrenals do make a little
bit of hormone they do make some progesterone and some testosterone, and we ll also get
a little bit of estrogen production from the fat cells in our body. But our ovaries are
the primary producers of our sex hormones. As ovarian function declines, the primary
thing that s dramatically going to stand out in perimenopause is the decline in progesterone.
A lot of the symptoms that women have during the perimenopause period really have to do
the bottoming-out of progesterone. Any time progesterone is low in relationship to estrogen,
we call this estrogen dominance. And estrogen dominance can set up many symptoms for women:
a woman might start to have a lot of anxiety; she might start to have a lot of irritability
or mood swings; she might notice that she s no longer sleeping well, or that she actually
has insomnia. She might have low libido. She might have symptoms that resemble PMS: she
might have things that look like breast tenderness, or her periods may actually become too frequent
or her bleeding could become very heavy. When a woman has these symptoms, she may go to
visit her doctor, and her doctor may end up giving her separate drugs for each of these
different symptoms. For example, she may be given a drug like Ambien for the insomnia,
she may be given Xanax for the anxiety; she may be given Prozac for the depression and
the problem is none of these drugs are actually addressing the root cause, which is that she
has a hormone deficiency or an imbalance. And in addition to not addressing the root
cause of the problem, she may actually experience side effects from the medications she s now
been put on. Some doctors recognize that these symptoms are related to low hormone levels,
or imbalanced hormone levels, and they ll choose to prescribe synthetic hormones like
oral contraceptives and Provera. Oral contraceptives are often used to help regulate irregul