Menopause - The ultimate guide. A guide,exact and to the point, with solutions and answers.

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If even in the back of your mind think it could be, read her book. Doctors can be notorious for discounting how women feel because "you're too young for menopause" but follow your instinct. Dolgen tells you how. Jan 21, Rachel rated it really liked it. This was am inspiring and informative read. Though I am barely starting perimenopause, I have already experienced doctors being unable to accept my version of the symptoms or pursue a solution for me. I learned a lot about the journey to come, and plan to keep this handy as a reference tool for the future.

Jun 27, Danielle Wittwer rated it it was amazing. Very helpful This books covers it all! I just realized I was suffering from peri menopausal symptoms and this book helped me beyond belief. It gives me hope knowing I am not alone and my symptoms are not just me loosing my mind. It has prepared me for my next doctors appointment as well! May 25, Pat rated it really liked it.

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A quick read but full of useful information about menopause that I wish I knew 20 years ago. Worthwile for all women Explains a lot about the emotions we all deal with, but may not have understood. May 25, Cecelia rated it liked it. This is where the knowledge of a trained naturopath doctor can be helpful.

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Be sure that during this changing time you give your body all that it needs to adjust. Tips for eating a healthy diet to help balance hormones include:. As close to nature as you can get a food an apple picked fresh off the tree is the best way to eat the majority of your foods. Josh Axe is on a mission to provide you and your family with the highest quality nutrition tips and healthy recipes in the world More Health Dr.

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Resources and Types of Clinical Question

Want to Read saving…. Most important, they are naturally occurring and bioidentical to the hormones your body makes. WHI Investigators. For example, my FSH level was up at well into postmenopausal territory , yet I was still getting my period. Our bodies are all different, so different forms of HRT may work better for you than for others.

The last straw came during a meeting for work. In the midst of a conversation with senior leaders, a hot flash erupted, and sweat streamed from my brow. I went to see my internist, a quick young woman early in her medical career, about hormone therapy. She suggested that I wait until other health complaints were resolved instead.

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She suggested black cohosh, an herbal remedy some women credit with ending hot flashes. At the same time, he says, medical training programmes began to overlook training new doctors how to care for menopausal women. While all women need to consider risks, those who have these additional risk factors should work even more closely with their doctors to weigh risks and benefits of treatment.

But the good news from the study was not disseminated as broadly or as quickly. Nor was the news that the study was talking about women whose average age was The age issue turned out to be important. Before , women were given hormone therapy not only to treat menopausal symptoms but also to reduce the risk of heart disease. Santen says low doses of oestrogen and, for women with a uterus, progesterone can do much to relieve menopausal symptoms and improve quality of life. He advises that HT be considered for women who are younger than 60; for them, the benefits of treatment may outweigh its risks.

In my case, with hot flashes that were leaving me drenched from head to toe around the clock, I needed to do something. There is no rule for how long such treatment should continue, although Santen says he uses it for five years and then re-evaluates each patient.

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She notes that women have several treatment options to consider, including whether to take oestrogen as a pill or as a patch. The benefit of the latter, Kuhle explains, is that the oestrogen is not metabolised through the liver, which can increase the risk for blood clots in the legs.

The patch can also lower triglycerides, making it a safer option for women with high blood pressure. Kuhle recommends that women who are experiencing common menopausal symptoms, such as hot flashes, try non-drug approaches. She adds that recent studies have found that certain antidepressants and the anti-seizure drug gabapentin can relieve hot flashes for some women. There are several problems with salivary testing and monitoring of free hormone levels. First, salivary levels do not consistently provide a reasonable representation of endogenous, circulating serum hormones There is large within-patient variability in salivary hormone concentrations, especially when exogenously administered hormones are given 11, 13— Salivary hormone levels vary depending on diet, time of testing, and the specific hormone being tested 11, 14 , 17— Second, because the pharmacokinetics of exogenously administered compounded hormones cannot be known, it is not possible to estimate with reliability how and when to test saliva to obtain a representative result.

Third, saliva contains far lower concentrations of hormone than serum and is prone to contamination with blood, infectious agents, and epithelial cells——all of which may affect the level of hormone to be measured. Although more sensitive testing is becoming available through the use of mass spectrometry, there are few indications for the measurement of hormone levels to ascertain success of therapy when treating a postmenopausal woman with hormones.

If treatment is initiated for symptom control, subjective improvement in symptoms is the therapeutic end point, and there is no need to assess hormone levels. Hormone therapy should not be titrated to hormone levels serum, urinary, or salivary. Patients should be counseled that menopausal hormonal therapies that are proved to be safe and effective by the FDA are more appropriate for their use than individual pharmacy-compounded preparations.

Patients should be educated on the FDA approval status of compounded preparations and their risks and benefits, including the risks specific to compounding. Physicians should exercise caution in prescribing compounded hormones when FDA-approved alternatives exist.

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The following preparations are naturally occurring hormones that are ingredients in FDA-approved products:. Regardless of the type of preparation, the varying formulations available, pharmacodynamics, and individual patient factors must be taken into consideration when using menopausal hormone therapy. Food and Drug Administration. Compounded menopausal hormone therapy questions and answers.

Retrieved April 23, The special risks of pharmacy compounding. North American Menopause Society. Hormone products for postmenopausal use in the United States and Canada.

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OBG Manage ;21 12 : 29—30, 32, 34—7. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, posted on the Internet, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the publisher. This article is being published concurrently in the August issue of Fertility and Sterility. Compounded bioidentical menopausal hormone therapy.

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Committee Opinion No. American College of Obstetricians and Gynecologists. Obstet Gynecol ;—5. Women's Health Care Physicians. Replaces No. Compounded Bioidentical Hormones Bioidentical hormones are plant-derived hormones that are chemically similar or structurally identical to those produced by the body.