The growing number of middleaged and older people includes a concomitant continuous increase in the number

The growing number of middleaged and older people includes a concomitant continuous increase in the number of women who live most of their lives in a state hypoestrogenic. More and more women can expect to live another 79 years and experiencing the consequences of loss of gonadal hormones. br Although the time spent in menopause (currently up to one third of the life cycle) has increased with the phenomenon of increased longevity, the actual age of menopause around 5051 years has not changed since antiquity. The women of ancient Greece experienced menopause at the same age as modern women with the transition to menopause symptom usually starts at around 45.547.5 years.1, 2 factors that lower the age of menopause are few and physiological are smoking, 2 hysterectomy, carrier of Fragile X, autoimmune disorders, and living at high altitude. br menopause results for the loss of ovarian sensitivity to gonadotropin stimulation, which is directly related to follicular decline and dysfunction. The oocytes from ovaries undergo atresia throughout a womans life cycle, and both the quantity and quality of follicles undergo a critical decline of approximately 2025 years after menarche. Thus, the variable menstrual cycle length during perimenopause may be due to anovulation or irregular maturation of the follicles. Hormonal fluctuations can not be responsible of any irregular bleeding during this period, therefore, pelvic pathology (eg, uterine fibroids, uterine polyps, endometrial hyperplasia, endometrial cancer), which becomes more frequent during this time, they must be excluded by endometrial sampling, such as endometrial biopsy (EMB) or dilatation and curettage (DC). br During the fifth decade of life, many women are lulled into a false sense of security, thinking that they are infertile because they are so close to menopause. Although declines in fertility, pregnancy can still occur, as evidenced by a relatively high rate of unwanted pregnancies in women aged 4044 years. In fact, the number of unwanted pregnancies in this age group has increased over the last decade, 3, which highlights the need for continuous contraceptive practice in heterosexual couples. br A shorter duration of the menstrual cycle is the most common change in menstrual cyclicity that occurs during the perimenopausal period in women who have no pelvic pathology and who remain ovulatory.4 the follicular phase of the menstrual cycle is shortened due to the decreased number of functional follicles. Because these follicles, which are stimulated by follicle stimulating hormone (FSH) in the first part of the menstrual cycle have been reduced in number, less recruitment of oocytes is produced and the follicular phase is shortened accordingly. However, once ovulation occurs, the luteal phase remains fairly constant, at 14 days. br Over time, as the follicles of aging become more resistant to gonadotropin stimulation, movement of FSH and luteinizing hormone (LH) levels increase. High levels of FSH and LH lead to stimulation of the ovarian stroma, resulting in increased levels of estrone and decreased levels of estradiol. Also falling inhibin levels during this time due to the negative feedback of elevated FSH levels.5 With the onset of menopause and the loss of function of the follicles, the most significant change in hormonal profile is the dramatic decrease circulating levels of estrogen. Without a follicular source, the highest proportion of postmenopausal estrogen secretion is derived from the ovarian stroma and adrenal androstenedione that is aromatized to estrone in the peripheral circulation. Testosterone levels also decrease with menopause, 6, but this decrease is not as marked as the decline in the 17estradiol.7 br With the cessation of ovulation, estrogen production by aromatization of androgens in the stroma Ovarian and extragonadal production sites continue, without opposition, the production of progesterone by the corpus luteum. Perimenopausal and menopausal women are therefore often exposed to unopposed estrogen for long periods, which can lead to endometrial hyperplasia, a precursor to endometrial cancer. Estradiol levels decrease significantly due to loss of follicular production with menopause and menopause, but estrone, androstenedione that is aromatized from sources nonfollicular still occurs and is the main source of circulating estrogen in postmenopausal women . br Androgen aromatization to estrogens can occur in adipose tissue, muscle, liver, bone, bone marrow, fibroblasts, and hair roots.6 Because most of the conversion of androgens to estrogens occurs in adipose tissue, is often considered Women who are obese, have more circulating estrogen should have fewer complaints of vasomotor symptoms. However, this is not always the case, and vasomotor symptoms of menopause can be as frequent and severe in overweight women and in lean women. br The clinical indication that menopause has occurred is the measure of an elevated FSH level. The FSH level increases more than the level of LH due to reduced renal clearance of FSH compared with LH. A little high or borderline levels of FSH in perimenopausal women menopause can not be a reliable indicator of menopause due to the wide range of FSH and LH levels in response to increased gonadotropinreleasing hormone (GnRH) the sensitivity of the hypothalamus and increased to GnRH. Measurement of FSH and LH levels again in the perimenopausal patient after 23 months is helpful to establish whether women are progressing through menopause. Women with elevated, but not postmenopausal FSH levels are still at risk of pregnancy and contraception should still be used until the levels of FSH remain in the postmenopausal range. br Excellent resources for patient education, visit eMedicine Women's Health Center and Bone Health Center. Also, see the eMedicine's patient education menopause, female sexual problems, and hormone replacement and osteoporosis. br Throughout the time that the physiological changes in response to gonadotropins and their secretions are produced, with resulting wide variation in hormone levels, women often experience several symptoms that are collectively termed the climacteric syndrome. Typical climacteric symptoms include hot flashes or flushes, insomnia, weight gain and bloating, mood swings, irregular menses, mastodynia, and headache. As noted, the length of time during which menopause occurs is very variable, symptoms may begin during perimenopause and continue for 510 years after menopause. br irregular ovarian function and considerable fluctuation in estrogen, not estrogen deficiency causes climacteric symptoms during menopause, so hormone fluctuations stop using oral contraceptives (OCs) and hormone therapy (HT) relieves climacteric symptoms. Ovarian function and menstruation therefore generally does not resume if the woman has experienced a year of amenorrhea. The cessation of menstruation in women of appropriate age is still the best confirmation of the loss of follicular function. As advanced years postmenopause, with a consequent loss of ovarian response to gonadotropins, associated symptoms of menopause are also reduced. br The effects of gonadal hormone depletion may be evident on pelvic exam, with changes seen in perimenopause and in some women. The reproductive organs of women of reproductive age are different in appearance from those of a woman who was the menopause. With the loss of estrogen, the vaginal lining becomes red due to thinning of the epithelial layer and increased visibility of small blood vessels in the area. Later, as subsequent atrophy of the vaginal epithelium, the surface becomes pale due to a reduced number of capillaries. A decrease in urine pH to a change in the bacterial flora can cause itching and malodorous discharge. Rugation also decreases, and the vaginal wall becomes soft. These changes often result in dyspareunia insertion and, for many women ultimately lead to sexual abstinence if not treated. br Within the pelvis, the uterus becomes smaller. Fibroids, if any, are less symptomatic, sometimes decline to the point where it can not be felt on pelvic exam. Endometriosis and adenomyosis are also relieved with the onset of menopause, and many patients with pelvic pain finally achieve permanent pain relief. br The ovary of menopause and decreases in size and not palpable during gynecological examinations. A palpable ovary in orders for a pelvic exam a full assessment of all menopausal or postmenopausal women. br For older women, a general loss of pelvic tone also occurs, and this may manifest as organ prolapse or urinary reproductive tract (see Uterine prolapse and prolapse. Vaginal Pressure, pressure lower back, or bulge in the vaginal opening is common in women with prolapse. On examination, cystocele prolapse, rectocele, and uterine cancer are obvious, as causes of these symptoms. br Atrophic cystitis, when present, can simulate a urinary tract infection. Report Women's symptoms of urinary frequency, urgency and incontinence. But women are more prone to urinary tract infection during this time because of atrophic cystitis, and a growing urine should be obtained in all symptomatic women. br In addition to alterations in the pelvic organs, significant changes occur throughout the body. The skin loses elasticity, bone mineral density (BMD) decreases, and the dense breast tissue, is replaced by fat tissue, making mammographic evaluation easier. br The most common reason a woman presents at menopause is due to the symptoms of hot flashes. flashes, or flushes, which are unpredictable at the start, and sometimes occur for many years, occur in about 75% of women who are perimenopausal or postmenopausal. Hot flashes often cause embarrassment and discomfort, and sleep disturbances and emotional lability, especially if they are intense and occur frequently. Vasomotor episodes usually last a few minutes. episodes vary in frequency from every hour to every few days. br A woman who is dumped to the extent that it is important sleep disorders may also complain of cognitive or affective disorders from sleep deprivation . The vasomotor color is described as a feeling of warmth or heat that starts in the umbilical area and moves upward toward the head, followed by the sweat of the head and upper body. Other cardiovascular or neurologic symptoms (eg , palpitations, dizziness, lightheadedness, vertigo) may also occur with or without flushing, making the episode more difficult to classify as simply a symptom of the climacteric. Because of the wide range of symptoms, symptomatic women who have risk factors for a condition that menopause should be assessed thoroughly. br Although osteoporosis is one of the most important conditions in older women, the condition is often not taken seriously by menopausal women. With appropriate intervention, the Osteopenia is a largely preventable consequence of menopause. Osteoporosis is defined as bone mineral density (BMD) equal to or greater than 2.5 standard deviations (SDs) below the peak bone mass or T score. The Osteopenia is a 1.02.49 BMD SD below the T score. br In 2001, Grady and Cummings conducted a metaanalysis of 22 trials with data on a total of 8800 women. They found a 27% reduction in risk nonvertebral fractures in older women who received hormone therapy. For hip and wrist fractures, risk reduction was 40%, increasing to 55% in women under 60 years.8 The data from the Women # 39; s Health Initiative (WHI) also showed decreased bone fractures in women with hormone therapy. Since hormone therapy is primarily indicated for the relief of vasomotor symptoms, hormones are no longer firstline therapy for osteoporosis. br In onset of menopause, BMD is quickly lost due to bone resorption, detached from the bone formation is accelerated, while the training according to the rate of menopause. Trabecular bone is affected more than cortical bone, and bone loss is therefore more commonly seen in spinal coxial, and radial sites. normal bone loss associated with aging is different from the accelerated bone loss observed after menopause. The only bone loss A few years after the onset of menopause can be as high as 20% of the bones for life loss.8 br The overall effect of postmenopausal bone loss is the reduction of bone strength, leading to an increased risk fracture. The youngest women in the cessation of ovarian function, loss of bone mass is likely to be severe. Similarly, the lower bone mass womans to enter menopause, the most serious of osteoporosis will be. The severity of osteoporosis is also related to race, being worse in whites than in Asians, and less severe in darkskinned women. Other risk factors are smoking and slim. Osteoclasts are been shown to have estrogen receptors, and these are hypotheses to be the mechanism by which estrogen replacement protects against osteoporosis. br Bone densitometry is the factor most accurate clinical prediction of osteoporosis. If bone mass is less than 1 standard deviation below the average of the measured specific bones, then the individual is in a much higher risk of fracture. Other risk factors, such as low serum estrogen levels, female sex, low serum androgens, smoking, physical inactivity, low body weight, and little exposure to sunlight are risk factors for osteopenia and osteoporosis. Bone densitometry testing is recommended for all postmenopausal women. Neither age of initial detection of BMD or optimal frequency of detection was determined. br As noted above, estrogen therapy (ET) is considered a promising treatment for osteoporosis, but indications of hormone therapy have changed, other medications commonly used to treat osteoporosis . Preparations of oral and transdermal estrogen have been approved for the prevention of osteoporosis in postmenopausal women who are considered at risk. Postmenopausal women and elderly should be treated quickly and on a long term unless therapy is contraindicated estrogen. br With the loss of ovarian function is a universal phenomenon and not all women can or will use hormone therapy, other treatments have been developed. These include raloxifene, calcitonin and bisphosphonates. Raloxifene is a modulator selective estrogen receptor (SERMs), and acts directly on estrogen receptors in the bone to reduce bone resorption, thus reducing risk9 vertebral fractures and increased BMD. No effect on hip fracture risk has br documented.9 Calcitonin is a peptide hormone that acts by inhibiting osteoclasts, which are involved in bone resorption activity. A decrease in the rate of vertebral fractures has been demonstrated with this therapy, and a small increase in BMD in older women. Serum calcium should be monitored in patients taking this medicine. br Bisphosphonates are the most useful drug treatment and work as antiresorptive. They have shown a beneficial effect on the incidence of vertebral and hip fractures and to cause a more significant increase in BMD of raloxifene calcitonin.10, 11 Two widely used and effective bisphosphonates are alendronate and risedronate. Vertebral Efficacy with Risedronate Therapy (VERT) study was conducted in 110 centers and included 2458 postmenopausal women had vertebral fractures. Risedronate was administered at a dose of 5 mg for 36 months and showed a statistically significant reduction in relative risk (RR) of new vertebral fractures (RR = 0.59, 95% confidence interval [CI], 1858%). The cumulative incidence of nonvertebral fractures was also reduced.11 br Both alendronate and risedronate was first introduced with a daily dose for the treatment of osteoporosis. Patients can now prescribe a weekly dose alendronate and risedronate, which increases their tolerance and reduces side effects. A new bisphosphonate, ibandronate, has recently been approved for monthly use. The main side effects of bisphosphonates remain gastrointestinal upset and reflux. Patients with significant GERD should avoid the use of bisphosphonates unless approved by a gastroenterologist. Supplementation with 10001500 mg of calcium per day remains a pillar of prevention therapy, as vitamin D and regular weight exercise support. excess salt, animal protein, alcohol and caffeine offset these benefits. br coronary artery disease (CAD) is the leading cause of morbidity and mortality in men and postmenopausal women. Menopause increases the risk even more for women, independent of age. Before menopause, the risk of CAD for women lags behind men at risk for about 10 years. After menopause, women come to have similar risks of CAD as men of the same age. As a result, the death rate from CAD in women is increasing. The Framingham study was critical to show the relationship between menopause and increased cardiovascular mortality rate.12 br Women # 39; s Health Initiative (WHI) was a randomized controlled trial that addressed the question of whether postmenopausal women who take hormone therapy or estrogen therapy for prevention of CAD.13, 14 more than 27,000 women participated in the WHI. The study found that hormone therapy and estrogen therapy are not indicated for the prevention of CAD. The analysis of the WHI emerging data show that the immediate use of hormone therapy / estrogen therapy in the perimenopause and time may reduce the risk of CAD. The WHI clearly demonstrates that women more than 9 years post menopause should not start hormone therapy or estrogen therapy for prevention of CAD. At this time, hormone therapy / estrogen therapy is indicated primarily to relieve vasomotor symptoms. br In starting hormone therapy or estrogen therapy in the immediate periphery or in the postmenopausal time is believed to be beneficial because significant atherosclerotic changes have not happened yet. After 9 years have passed since menopause , arterial damage seems to have begun. studies are ongoing to test these theories in humans and primate models. Studies hormones and arterial plaques in ovariectomized monkeys promising in this area.15, 16 new trials support the protective effects of estrogen when used in a few years of menopause has come from the subanalysis by Manson et al in 2007 which showed that coronary artery calcification was lower in women placed on oral conjugated equine estrogens br placebo.17 those benefit of estrogen on cardiovascular mortality rates is due to many factors. One mechanism that appears to be effects of estrogen on lipid metabolism, including reducing lowdensity lipoprotein (LDL) and increased high density lipoprotein (HDL). Studies have suggested that the best predictors of CAD in men and women are different18 and triglycerides, HDL and lipoprotein (a) may be more significant in women.19 br Women with elevated lipoprotein (a) levels should be treated more aggressively, and therapy should be considered include estrogen therapy and a statin. A positive relationship between estrogen therapy and cardiovascular risk reduction in primary has been shown in several studies, and risk reduction in women taking estrogen therapy may be similar to reducing the risk of those receiving specific lipids to reduce therapy.20 However, taking into account data from WHI or hormone therapy or estrogen therapy for CAD should be given at this time. The main indication for hormone therapy / estrogen therapy is symptomatic relief of vasomotor symptoms. br The Heart and Estrogen / progestin Replacement (HERS) Study, 21, 7, 22 a study of 2763 postmenopausal women with known CAD, compared the effect of continuous combined hormone therapy compared to placebo for an average of 4.2 years. Without reducing rates of CAD charitable events was initially observed in the hormone therapy group. In fact, the first rate of adverse events was higher in the treatment arm than in the placebo group, offsetting the reduction in the risk later in the therapy group hormone. A 11% reduction in LDL and a 10% increase in HDL levels were evident in the treatment group. These observations together suggest that the protective effects of estrogen on cardiovascular morbidity resulting from the mechanisms of many and not only the reduction of lipids, and that estrogen alone is not adequate therapy for secondary prevention of CAD. br The Postmenopausal Estrogen / Progestin Interventions (PEPI) Trial, which included 875 healthy postmenopausal women, compared with various CAD risk factors as predictors of outcomes in women receiving different regimens of hormones by the participants randomized to receive placebo or 1 of 5 regimens of estrogen / progestin therapy.23 All groups treatment showed an overall improvement in levels of HDL and LDL compared with the placebo group. The improvement in the level of HDL was better in the group receiving unopposed estrogen than in the other treatment groups, however, people using unopposed estrogen also had the highest rate of endometrial hyperplasia. br The Nurses Health Study showed a reduction of approximately 11% of primary cardiovascular disease risk in postmenopausal women using HRT compared with women who had never used hormone therapy, regardless of the duration of use.24 The risk reduction did not appear to be dose dependent. However, these data have been eclipsed by the WHI. br The greatest beneficial effect of estrogen seems to be on endothelial function. The women undergoing angioplasty appear to be protected against restenosis by estrogen therapy.25 early atherosclerosis progression in postmenopausal women who smoked, as measured by carotid intimal thickness with time was greater than in women who smoked and were on estrogen therapy.26 studies in monkeys have shown that the coronary vasculature has a favorable response to conjugate equine estrogens.27, 28 These results are being investigated by other studies in humans, the breakdown of age groups in the WHI data, and in animal studies.29, 16, 27 br Estrogen therapy is known to benefit postmenopausal women in a multitude of ways, mainly through the relief of vasomotor symptoms associated with time postmenopausal . Estrogen is also beneficial for the prevention and treatment of osteoporosis. There is much controversy over the use of estrogen and breast cancer. Some studies show an increased risk of breast cancer with estrogen use in postmenopausal women, while others show a decrease. Estrogens possible link to cancer is also suggested by the fact that the risk of breast cancer is higher in women with an earlier age of menarche and the later age of menopause. With age early in pregnancy, however, and there is a cessation of menstruation hormonal changes, reduction in risk. The role of estrogen in breast cancer development is still being studied. br In Women # 39; s Health Initiative (WHI), the incidence of breast cancer increased in the estrogen / progestin versus placebo arm of the study (38 vs. 30 per 10,000 people; hazard ratio [HR] = 1.26]). However, the incidence of cancer decreased breast estrogen alone versus placebo arm of the study (26 vs 33 per 10,000 personyears [HR = 0.77]) .13, 14 The role of estrogen remains puzzling in the development of breast cancer. In the Today, no woman with a strong family or personal history of breast cancer should be given hormone therapy or estrogen therapy. br The data indicate a slightly higher RR with the use of estrogen in approximately 1.11.330, 31, but not all evidence supports this finding.32 The risk appears to be related to duration of use, longerterm users to be more affected.33 br The data suggest that the sequential addition of progestin to the regimen increases the RR of developing cancer later breast cancer beyond the risk of estrogen alone, although he has suggested that continuous combined hormone therapy using much smaller doses of progestin attenuates this most risk.34 previous studies evaluating the risk of breast cancer and estrogen therapy were carried out at a time when the progestin in hormone therapy is administered cyclically. br In particular, women with a history of use of hormone therapy are more localized tumors and improved survival rates. That is, the women receiving hormone therapy who are diagnosed with breast cancer are found to have more favorable stop when diagnosis31, including smaller tumor size, lymph node negative, and more welldifferentiated tumor histology.35, 36, 37, 38, 39, 40, 41, 42, 43 br A beneficial effect on mortality rates of breast cancer has been demonstrated in postmenopausal women who received hormone therapy compared with controls with no history of hormone therapy use.30 study results do not agree on whether this is due to early detection or for purposes of selftherapy on breast tissue. The general belief is that any increase in risk is small and that each patient should be evaluated as a candidate for estrogen therapy or hormone therapy on an individual basis, taking into account the overall balance of risks and benefits. An essential tenet in the management of menopause is that each individual is unique and that treatment should be adapted accordingly. The main indication for hormone therapy and estrogen therapy at this time is the relief of vasomotor symptoms. br The association between estrogen and memory function is an interesting area of research. Normal aging itself causes a decrease in certain cognitive abilities, and lack of estrogen can contribute to this process. If this is the case, estrogen therapy in postmenopausal women may be able to preserve this function and delay or even prevent the decline in certain cognitive functions . One difficulty inherent in this field are the limitations of objective tests of cognitive functions like memory. In the past, estrogen therapy has been associated with better performance on memory tests in postmenopausal women than in controles postmenop�usicas que no recib�an estr�genos therapy.44, 45 El efecto del estr�geno es una de frenar el declive de la funci�n de la memoria preservada. Datos de la WHI no muestran una mejor�a en la funci�n cognitiva en las mujeres que tomaron ya sea estr�geno o la terapia hormonal therapy.13, 14 de br Actualmente, los datos sugieren que las mujeres tienen una mayor incidencia de la enfermedad de Alzheimer que los hombres, incluso teniendo en cuenta la mayor esperanza de vida de las mujeres, debido a la enfermedad de Alzheimer es principalmente una relacionada con la edad condition.46 En estudios anteriores, la terapia de estr�geno parece reducir la relaci�n riesgo de desarrollar enfermedad de Alzheimer y / o retrasar su onset.47, 48 estr�geno no se ha demostrado que muestran una mejora en la funci�n cognitiva en pacientes con enfermedad de Alzheimer, es decir, que no puede revertir el deterioro cognitivo anterior y por lo tanto no tiene ninguna funci�n como �nica modalidad de tratamiento en la enfermedad de Alzheimer. De datos de WHI est� de acuerdo con esta opini�n . br La perimenopausia es con frecuencia un tiempo de s�ntomas depresivos asociados con efectos hormonales directos a trav�s de variaciones en los niveles y cambios en las circunstancias de la vida y secundaria a los efectos tales como el estr�genorelacionados con las alteraciones del sue�o y los s�ntomas vasomotores. Sin embargo, la depresi�n mayor se asocia con el sexo femenino en todas las edades, y la demostraci�n objetiva de un grupo de casos alrededor de la menopausia ha sido dif�cil, aunque esto parece ser cierto anecd�tica. br Independientemente de si se cumplen los criterios para un diagn�stico definitivo de la depresi�n mayor, los s�ntomas depresivos debe considerarse siempre en el contexto del nivel de funcionamiento; cualquier consideraci�n deterioro �rdenes de intervenci�n. br En todos, pero muy pocos casos, distinguir la etiolog�a de los s�ntomas como la depresi�n primaria frente a la menopausia no suele ser posible. El tratamiento de los s�ntomas depresivos con los estr�genos en la perimenopausia, el periodo de posparto, de 49 a�os y el s�ndrome premenstrual es com�n, con el consiguiente mejoramiento observado en el funcionamiento y estado de �nimo , tanto subjetiva como objetiva, en muchos casos cl�nicos. La depresi�n cl�nica, sin embargo, garantiza el tratamiento con antidepresivos, con estr�geno mostraron beneficios como terapia adyuvante en este escenario. A corto plazo el uso de estr�genos durante la �poca de la fluctuaci�n de estr�genos parece ser de alguna benefit.50 br Microcelulares los efectos del estr�geno en el SNC a�n no han sido claramente definidos, pero puede revelar los procesos complejos por los que el estr�geno tiene un efecto directo en el funcionamiento del SNC. Uno de estos procesos puede llegar a ser una reducci�n en el da�o de los radicales libres por la terapia de estr�geno. br Aumenta la secreci�n de gonadotropinas dram�ticamente despu�s de la menopausia. Los niveles de FSH son m�s altas que los niveles de LH, y ambos aumentan a niveles incluso m�s altos que en el aumento durante el ciclo menstrual. El aumento de FSH precede a la de la LH. La gran variaci�n c�clica de estradiol y estrona observado durante los a�os de la menstruaci�n cesa, y la fluctuaci�n en los niveles es peque�o y sin importancia, con la media que es muy muy inferior. Los niveles de estradiol circulantes tienen gamas muy diferentes antes y despu�s de la menopausia, y estos niveles son obviamente mucho menor en la menopausia. Frotis del epitelio vaginal ofrecer una imagen compuesta de la estimulaci�n de estr�genos end�genos y ex�genos en el tiempo, el m�s estr�geno, mayor es el n�mero de c�lulas superficiales. No hay cambios espec�ficos relacionados con la menopausia se han encontrado en la funci�n tiroidea. br Biopsia del endometrio puede mostrar una serie de apariciones de endometrio, de leve a proliferar atr�fica. No se observan cambios secretores despu�s de la menopausia debido a que no se produce la ovulaci�n, y por lo tanto no se forma el cuerpo l�teo para producir progesterona. La hiperplasia endometrial es un signo de hiperestimulaci�n por los estr�genos de cualquiera de las fuentes end�genas o terapia de reemplazo y puede ser un precursor del c�ncer de endometrio. La hiperplasia endometrial tambi�n puede ser sugerido por ecograf�a (el grosor del endometrio de 5 mm), que es �til para tratar de excluir a la hiperplasia y c�ncer de endometrio en las mujeres posmenop�usicas. br La raz�n principal para tratar los s�ntomas de la fluctuaci�n de niveles de estr�geno antes de la menopausia son reales para proporcionar alivio de los s�ntomas vasomotores, reducir el riesgo de embarazo no deseado, evitar la irregularidad de los ciclos menstruales, y conservar el hueso. br El momento de comenzar la terapia de los pacientes depende de la enfermedad actual o enfermedades, si los hubiere, y la historia m�dica. Si una mujer es perimenop�usicas o postmenop�usicas ayuda a la hora de elegir el tipo m�s adecuado de la terapia . Cada paciente debe tomar una decisi�n despu�s de recibir asesoramiento sobre todos los hechos y una explicaci�n de las opciones. Por ejemplo, la mujer perimenop�usicas pueden iniciar una terapia hormonal, si ella o su c�nyuge ha sido objeto de un procedimiento de esterilizaci�n, mientras que la misma mujer puede necesitar una OCP si todav�a necesita control de la natalidad. Many factors, including personal history, family history, smoking, peer and commercial influences, culture, ethnicity, and economics, also play roles in the final decision, and all must be carefully weighed by the clinician and patient together. br Adverse effects of replacement therapy may include bloating, mastodynia, vaginal bleeding, and headaches. Unexplained adverse effects are often the reason for discontinuation of therapy, and reassuring counseling as well as options and dose combinations should be tried before therapy is stopped. br Hormone therapy can be administered systemically through the oral, transdermal, or topical routes or locally via the vaginal route using cream, ring, or tablet. Topical preparations are used solely to treat vaginal symptoms. br Contraindications to estrogen therapy are undiagnosed vaginal bleeding, severe liver disease, pregnancy, venous thrombosis, and personal history of breast cancer. Welldifferentiated and early endometrial cancer, once treatment for the malignancy is complete, is no longer an absolute contraindication. Progestins alone may relieve symptoms if the patient is unable to tolerate estrogens. br Alternative products, ranging from herbal preparations to dietary supplements that contain various phytoestrogens, are reputed to ease the transition from perimenopause to postmenopause and are widely available. However, these agents have not undergone the same scrutiny in randomized controlled trials as the pharmaceutical products. Overthecounter herbal products and phytoestrogens, including soy, are assumed to act the same as their pharmaceutical counterparts, but the herbal and vitamin industry is currently unregulated by the FDA. In women who cannot (due to a history of breast cancer) or choose not to take estrogen therapy/hormone therapy and suffer from hot flashes or flushes, the SSRIs (in particular, venlaxifine) have been shown to alleviate vasomotor symptoms. br br

I am a personal trainer and instructor in Minneapolis. I come

I am a personal trainer and instructor in Minneapolis. I come on my 40th birthday in October. I've been struggling with fibrocystic breast during the past 7 years. Fibroids are painful when I exercise (which is 23hrs/day) and caused my left breast to be noticeably larger than my right. As a coach, the symmetry is very important to me, so I started on a quest to solve this problem. br I have consulted several doctors about a solution and the most common responses were: # 1Close all stimulants such as caffeine, chocolate, wine, etc. for 6 months and # 2Being happy with my body, just the way is. I am willing to try anything as long as I get my desired end result, so I quit I quit my stimulants and black chocolate and white wine for 6 months. Let's say my husband found me a nice feeling for the first month of this experiment! It was one of the hardest things Ive had to do, but I thought it would be worthwhile. Well, it was not. Nothing changed. Fibroids has not dissipated, which means that it still had a large chest pain. Needless to say, I am again enjoying my caffeine! br With the first suggestion of marking the list, I was with # 2. Mostly, I'm very happy with my body and how it looks and also how it performs on a sporting level. However, I am very satisfied. Although, I am also of the mentality that if you can change something and the more physically and mentally, why not! Accept what you cannot change and change what I can. So three years ago, I saw Dr. Bashioum for liposuction on my left breast, hoping that if we take the size down to that procedure, it wouldnt be so heavy and therefore not as painful. Not to mention, the size might be better to party! He was one of the possible treatments and that worked for some time. However, in recent years, the fibroids have gotten bigger and are virtually almost everyone in my breast tissue on the affected side. At this point, I'm thinking of more surgery to correct the asymmetry of me. I'll tell you more after my visit with Dr. Bashioum about my decision to have or not a reduction in the left breast. br br

Herbal Remedies for Women: Discover the wonderful secrets of nature Just for Women Author: Amanda McQuade

Herbal Remedies for Women: Discover the wonderful secrets of nature Just for Women Author: Amanda McQuade Crawford Now you can learn to control the intensity and frequency of medical conditions unique to women and, in some cases, get rid of them completely . Best of all, you can safely and effectively, using the secrets of nature. Replacing strong painkillers and drugs that mask problems only with reliable and affordable resources for more than a dozen conditions, including PMS, menstruation, ovarian cysts, fibroids, menopause, candida and other infections. Each condition is presented with clear definitions, causes, symptoms, conventional medical approaches, herbal treatments including specific recommendations and dosages, and nutritional information. Other topics include exercise, spiritual healing, and more. Contents: PrefaceAcknowledgments1Herbal Glossary32Herbal Preparation153Amenorrhea: lack of menstruation Cycles334PMS: Premenstrual Syndrome395Dysmenorrhea: menstrual pain or difficulty Cycles506Menorrhagia and Hypermenorrhea: Bleeding587Iron menstrual Deficiency Anemia668Menstrual Migraines719Fibroids8110Ovarian Cysts8711Cervical Dysplasia: inflammation, erosion and Eversion9212Endometriosis10513Fibrocystic breast tissue: benign breast Blocks for Cysts11814Clearing Playlist: Infertility13115Pregnancy14416Herbal Baby Care17717Urinary Tract Suppliers259Resources Infections18718Vaginitis19319Candida19920Herpes21321Trichomonas22022Chlamydia22523Menopause231AppHerb: Organizations, Education and Journals261Bibliography266Index274About the book review Author292: Fiber haute cuisine and taste of Italy Vegan You Can # 39; t Quit # 39; Til You Know What # 39; s Eating You Author: Donna LeBlanc you find it impossible to have just one Twinkie Getting started a new diet every Monday You feel trapped by your eating habits If you have a problem with food and eating, thenYou Can # 39; t Quit # 39; Til You Know What # 39; s Eating You can help yourself to help yourself.This book is about permanent weight loss. It stresses that understanding, not deprivation, produces the results you want. It deals with the psychological elements of weight loss, dealing with cravings, selfimage and body image, the influence of the family and more. It includes selfexamination to help determine the extent of their feeding problem, and visualizations, exercises and affirmations. If you want to overcome their eating problems permanently, read You Can # 39; t Quit # 39; Til You Know What # 39; s Eating You and begin your new life today. br br

Dr. Andrea Neri is the author invited in the following Progestone

Dr. Andrea Neri is the author invited in the following Progestone hormone. Progesterone is one of many hormones that regulate and stimulate the various functions of our body. While most of us are aware of estrogens, little attention is focused on the progesterone. Progesterone is produced by the ovaries, the placenta when a woman is pregnant and also by the adrenal glands. Its main function is to prepare the uterus for implantation of a fertilized egg and to keep progesterone pregnancy.Levels vary through a womans menstrual cycle. It occurs just before ovulation and increasing in the last two weeks of a menstrual cycle. Its decline at the end of the cycle promotes the shedding of the uterine lining and the beginning of a menstrual cycle.Progesterone counters the effects of estrogen in the body. This is the reason that they are matched in many hormonal preparations. Progesterone also affects our nervous system by increased sleepiness and decreased anxiety. I recommend that many of my patients on formulas of progesterone to take about bedtime to help sleep. Progesterone helps to mature breast tissue and prepare for milk production. Promotes appetite and fat storage especially pregnant women.When has a lot of progesterone in relation to estrogen, may experience a decrease in insulin sensitivity, weight gain, depression and low libido. When you have very little progesterone relative to estrogen may experience irregular menstrual cycles, breast tenderness, irritability and mood swings, endometriosis and uterine fibroids. An interesting note: when Progesterone levels are very low, really cannot make enough cortisol from the adrenal glands. This is a very important issue to consider when treating someone with adrenal deficiency function.It seems that in our lives as women who either have too little or too much of some hormones or if it is balanced, does not continue. That usually corresponds to when I'm riding a broom to work or car. Id prefer a car any day. Ask my husband and kids! As we grow and enter the time before they actually stop the menses (perimenopause), the progesterone and estrogen levels are fluctuating a lot. Ovulations losses are becoming more frequent. You may notice a change in the number of days in the menstrual cycle, a change in flow or even changes in sleep and hot flashes.I find that treating a woman during these times can be more rewarding. There are many options. As a physician Naturpathic, I tend to gravitate toward therapies that are less invasive and less harmful to the body. My first approach is to evaluate the function of the body before just treating the symptoms. You will be surprised how little your body requires in terms of hormones. It really is to balance hormones. I always look to adrenal function, the production of progesterone, and pituitary function before considering the increase in hormones. My goal is to support production systems first.I hormone have been working with Marie Lachney in the last 10 years in a team approach with a specialized laboratory to evaluate the functioning of the body and then recommend the supplements that the results of evidence suggests are necessary to help each client achieve the balance between hormones. More information on frequently asked questions and the test protocol in Maries MarieLachney.com website Pioneering CounselingI continue to contribute articles on other hormones, both male and female, and very important for the health of other issues related. br br

Author: With Fred Kavalier problemMy Embarrassing son developed the extension of the breasts (gynecomastia) at the

Author: With Fred Kavalier problemMy Embarrassing son developed the extension of the breasts (gynecomastia) at the age of 16. It was something tender, and of course it was very embarrassing. Eighteen months later, and no change has been prescribed tamoxifen, but said it is unlikely that the state will never disappear. The consultant also discouraged the idea of the operation, saying it had a high likelihood of scarring. We understand that this condition is more common than most people assume. Is there any advice for a teen who is now reluctant to swim, sunbathe or wear thin I should mention that is 6 # 39, 2 quot; and months ago I wrote that side.Two skinny breast enlargement young adolescentesquot; is completely normal and does not go beyond the stage of a small circular mass behind the nipple quot ;. His son, however, clearly suffering from something more important. The enlargement of one breast in children is uncommon. Tamoxifen, a drug that blocks the effects of estrogen, often helps, but only if used in the early stages of breast enlargement. Surgery to remove breast tissue is possible, and need not cause excessive scarring. If your child is having to modify their behavior to cover his shame, I think you should get a second opinion on the possibility of surgery. It would be best to see a surgeon who specializes in breast surgery. The physical and psychological trauma of surgery must be weighed against the psychological effects of continuous child feeling that something is seriously wrong with their body shape. � This drug makes me fat I wonder if the medication Seroquel (also known as quetiapine) makes you gain weight. Although normally used to treat schizophrenia, I'm not schizophrenic, and I'm in a very low dose. take 100 mg a night if I feel very concerned and get a racing mind. If I knew I was doing to gain weight, that would be a big incentive to leave it.Seroquel is one of a group of relatively new drugs used to treat mental illness like schizophrenia. They are known as atypical antipsychotics, because they work differently from older drugs such as chlorpromazine. These newer drugs tend to be as effective as the older but less serious side effects. For this reason, is being established as firstline treatment. There are, however, completely free of side effects. One of the most common side effects of these drugs is weight gain. It is not uncommon that someone put a rock or even more after you start taking an atypical antipsychotic such as Seroquel. The other drugs in this group are olanzapine and risperidone. The adverse effect of weight gain does not affect everyone who Seroquel. Recent research has shown that there is probably a genetic predisposition to this weight gain. Is menopause My periods have always been regular. However, last year I often have cycles that last only three weeks, then occasionally back again four weeks. My periods are too long (seven days or longer) and heavy. I am 38 and have a son, aged three. My doctor gave me a blood test and my iron levels are normal, but not pleasant for bleeding a week in three. Could this be a sign of early menopause And is there anything I can do about it Long, heavy and irregular periods are not necessarily abnormal, but may be a sign of an underlying cause that needs attention. hormone your body clock can not simply be as regular as it was. This period not uncommon in 38. irregular can be the first sign of menopause, but many women have irregular periods for years before menopause begins. The possibility exists that you could have fibroids These benign growths in the wall of the uterus are a common cause of heavy periods. They are more common in AfricanCaribbean than white women. The best way to diagnose fibroids is with ultrasound. If there are underlying problems can be discovered, might consider taking the combined oral contraceptive pill as a way to control menstruation. This would not be an option if you are a cigarette smoker. If you do not smoke, a low dose pill could make your periods lighter and regular.Send your questions and comments to a Question of Health, # 39, The Independent # 39;, Independent House, 191 Marsh Wall, London E14 9RS, fax 0207005 2182 or email health@independent.co.uk. Dr Kavalier regrets that he is unable to respond personally to questions View full article here br br

Bioidentical Hormones 101How take control of your health (just say no to drugs RX) IntroductionI am

Bioidentical Hormones 101How take control of your health (just say no to drugs RX) IntroductionI am not a medical doctor. Strictly speaking from experience. The purpose of this article is to help others avoid some of the pitfalls they have experienced due to deficiencies in the medical field about how aging affects our health. If you are in 30, 40 or more, you could be entering the area of perimenopause and menopause and may be experiencing symptoms of hormonal imbalance. Most likely, the treatments recommended by your family doctor, unless you are familiar with bioidentical hormones (BHRT), only mask symptoms, but the usual balance your hormones, causing your problem. Until their hormones are in balance, you will be subject to a number of diseases, including heart disease, diabetes, stroke, thrombosis, bone loss and cancer. If you're like me, instead of the obvious hot flashes and night sweats you may experience some not so obvious symptoms, including joint pain, itching, dryness, insomnia, headaches, low sex drive, moodiness, incontinence urine, stains, or prolonged bleeding, panting, weight gain, palpitations, dizziness, fibroids, sweet cravings, fatigue, even thyroid problems. Thyroid problems often go undiagnosed because doctors tend to use a single approach. The problem with this approach is affected by stress, hormones can fluctuate hourly and are as individual as fingerprints, so it is necessary to begin BHRT, to have them tested quarterly or half yearly, if possible. A second reason for the imbalances go undiagnosed is that the scale used by many physicians is based on a healthy population. Therefore, many women with a thyroid problem is said to them: Do not have a problem. I do not recommend anyone not to seek medical attention. Rather, my suggestion is this, once more serious illnesses such as heart disease, stroke, diabetes and cancer have been ruled altzheimers if symptoms persist, then consider the possibility of controlling their hormones. Once you begin treatment, you should never go alone. Always under the care of a professional. Internet use is fine. You can save money once you know which products to use, but you need a diagnosis first. A DO (medical doctor specializing in natural medicine) that can advise the hormones should be tested according to their symptoms. Be proactive. Do some research on their own. Get your hands on as much information as possible in this field is still developing and there are some things that even their DO, consultant pharmacist, urologist, gynecologist, endocrinologist or may not know. While some traditional practitioners may refuse to discuss herbal remedies, these doctors are likely to welcome your input. Personal ExperienceIts important for me to share my personal experience, so that anyone reading this understands the importance of being proactive. We tend to put doctors on a pedestal. We think they have all the answers. But the truth is that medicine is changing and not all doctors are keeping up. The use of BHRT is a work in progress, even for many doctors. Therefore incumbent on us to help guide our treatment rather than trust them to do all the thinking. My trip to BHRT started due to a longlasting period of six months. At first, I was given an injection of Lupron, which temporarily stopped the bleeding. When he returned, he prescribed a treatment that decreases bleeding, but side effects include the potential for stroke and weight gain, among others. I sought alternative treatments when I learned that it was intended as a treatment for cancer and AIDS. Ten pounds later, my family doctor prescribed medroxyprogesterone and referred me to another gynecologist. During the course of my treatment, I tried not only a second opinion, but opinion third, fourth and fifth. The suggestions range from the myomectomy, the ablation, hysterectomy, and an experimental procedure in which the arteries are squeezed, depriving fibroids (the alleged perpetrators at a time) of blood. I tried a number of herbal treatments that I found online, but none worked until I tried Chinese herbs under the care of a physician Chinese herbal. The bleeding stopped completely in ten days, but I remained with vaginal burning, pain, urgency and urinary incontinence. Antibiotics were prescribed and over again despite the results of tests for bacterial infections and sexually transmitted diseases were negative. I bought a test kit hormone from a pharmacy and found that my hormones were unbalanced. Then, not long after I started taking bioidentical hormones to restore balance, a burst cyst previously undiagnosed, landing me in the emergency room. The emergency physician ordered a CT scan to look for kidney stones, revealing an unknown mass. Ultrasound identified the mass of blood and fluid from the ruptured ovarian cyst. Although surgery is sometimes necessary, he was discharged from hospital with painkillers and keep an eye on him. What I learned from my experience is that while traditional Western medicine can save your life and a blessing when we need it, in general, professionals rely on quick fixes (ie, surgery and prescription medication). If I had opted for one of the surgeries, my hormonal imbalance would have continued and while the bleeding has stopped, the imbalance would eventually lead to other medical problems. The main differences and similarities between DOS and traditional healers are: two go to medical school. However, at some point both branching time when the traditional medical focus on pharmaceuticals while naturopaths, homeopaths, and chiropractors focus on grasses. In general, traditional practitioners, what is lacking is the nutrition education. For nutrition, I do not mean only what we eat but a complement, including BHRT. Therein lies the problem. To demonstrate this point, when I asked a gynecologist if he thought he might be suffering from a deficiency or imbalance, said that without enough estrogen, there would be a period and rejected the idea as nonsense. Having researched the subject, I now know that estrogen deficiency can lead to severe bleeding and prolonged. It is also possible to be both low estrogen and estrogen dominant, at the same time. This is possible when one is too low in progesterone. A deficiency of progesterone can cause miscarriage, among other problems. Looking back, my hormonal imbalance existed much longer than I had realized. My last two miscarriages, many years before and several years apart, there was evidence of progesterone deficiency. Going further back, before successfully getting pregnant with my son, who had fibroids. I Chinese herbs to shrink tumors. While doctors and the tests revealed that the fibroids to be the potential cause of my miscarriages, and not a doctor finds the cause of fibroids progesterone deficiency. Progesterone deficiency alone could have caused the infertility, miscarriage, and fibroids. Chinese herbs were used as a temporary fix. Once I got my goal of getting pregnant, I forgot about them. At that time, I had not discovered BHRT. The problem returned after the birth of my son and continues to return each time you stop treatment because I still have a hormonal imbalance that I have to be constantly above. At least for now, means we periodically test my hormone levels. What doctors often recommendDoctors are really doing miracles. If not for them I would not be here today and certainly wouldnt have wanted to have a child without being under medical care. However, as I mentioned earlier about the medicine men, part of their education including pharmaceuticals and pharmaceutical companies make lots of incentive to recommend their products. The danger of RX drugs that accumulate in your body. Worse, the underlying problems still exist, which means more health problems down the road. But the big dollars come from surgeries. Below I've compiled a list of typical treatments. Notice a pattern What's missing What is wrong with this picture Hysterectomy vaginal bleeding / surgery, antidepressive drugs relievers Depression headache itching, burning, urinary incontinence antibiotics insomnia sleepaid Acid Reflux Peps AC and similar drugs is not a natural remedy! Natural remedies are better because they are healing. Take acid reflux, for example. Common resources, such as Tums AC and FIFO, are detrimental to the digestive system, a large part of our immune system. It seems natural treatments, such as a combination of probiotics, enzymes, and aloe vera to be even more effective. Even better, to help restore the proper balance so that the problem does not return. It should be obvious by now that Arent doctors interested in prevention. Some doctors, in fact, warn against the use of herbs. But while the herbs are concentrated and should be used with caution, there have been many deaths associated with taking prescription medication, even when following the orders of doctors. Furthermore, bioidentical hormones are derived from plants and are safe when used correctly. Because most herbs do work as soon as drugs, it is easy to write them off as ineffective. Do not be fooled. They are neither dangerous nor ineffective. Its advantages are many. BHRT goes to the root of the problem so that does not return, the side effects are usually few and mild, and once the cause is corrected other problems that may never happen. But do not write off traditional Western medicine or medicine prescribed for the moment. After losing my job and my insurance, I was forced to consider alternative medicine. What won instead, was the best of both worlds, and so can you. Herbs take longer to work, while Western medicine can be used not only to diagnose the problem, but to relieve symptoms. I use a combination of Eastern and Western medicine to save money, plus the knife and avoid unnecessary risks associated with surgery. Remember, you cannot undo the surgery. Herbs can be expensive, but not as expensive as a visit to the doctors or surgery and no recovery or downtime. Every time I go to see my Chinese herbal doctor or hormone, bring the results of tests including blood tests and ultrasounds. Similarly, I informed my regular doctor what herbal products I'm taking. Even if your doctor doesn't believe in herbs, they should know what is taking to avoid contraindications with prescription medicines. Decoding buzzwords: Bioidentical Hormones (BHRT) come from plants and are identical to hormones produced by our body. Synthetic hormones are caused by man. A mare gives some synthetic urine. Many conflicting reports about HRT are made in synthetic materials that are proving harmful side effects, such as cancer. However, due to its ability to be patented, that are backed by the pharmaceutical industry. Nobody wants to spend money in hormones that can be copied by other companies. Synthetics can be patented and no one can copy. Hot Water ablation is a procedure that cauterized veins in uterous to slow or stop the vaginal bleeding. Endocrinologist specializes in menopause. (Find a specialist in reproductive endocrinology bioidentical HRT). HRT hormone replacement therapy with synthetic hormones Myomectomy Surgical removal of uterine fibroid tumors of estrogen dominance a hormonal imbalance in estrogen levels that are excessive in relation to sex hormones and steroids progesteroneMajor hormones: adrenaline, cortisol, problems insulinThyroid usually diagnosed during perimenopause. Even then, most doctors treat one element (T3) of the thyroid with either levothyroxine (BHRT) or synthroid (HRT), neglecting the T4. The problem is that when the thyroid is not functioning properly, this can result in failure of the hormone reaches the body tissues at the cellular level. For example, my endocrinologist prescribed levothyroxine for treatment for my hypothyroidism and other evidence indicate that my thyroid levels returned to normal. However, continued to have a goiter and other symptoms such as weight gain and cold hands and feet until I went to a doctor who specializes in BHRT, who suggested that the supplements that visibly diminished my goiter and provides relief from my symptoms, including improvements in memory, energy level and mood. Thyroid hormone prescribed levothyroxine hypothyroidismHypothyroidism: Low libido anxiety pains Headaches Palpitations Hormones levelsAdrenals key cholesterol levels to begin work. Cortisol and DHEA are done here. DHEA produced by the adrenal gland is converted into testosterone. People with weak adrenals are fatigued around 4 pm, dizziness when standing after sitting, and the craving for sweets. Other symptoms can include burning adrenal insomnia, headaches, allergies, low sex drive, and insomnia. You may need iodine if your adrenals are burned (can be ordered in Energeticnutrition.com). Importance of thyroid disease AssessmentThyroid refers to both hypo and hyperthyroidism, hypothyroidism, but is by far the most common. Even mild hypothyroidism may have significant implications for health, early detection is so important.Urinary thyroid Evaluation of measures of free triiodothyronine (T3), free thyroxine (T4) and selenium in the 24 hour urine collection. There are several reasons why a study may be beneficial urinary thyroid: a sample collected over a period of 24 hours may better reflect the average behavior of the thyroid gland from hormone levels vary throughout the day. T3 and T4 in the urine of 24 hours may be more reliable. (Serum free T3 and T4 measurements are inherently difficult.Selenium is required to convert T4 to T3. A low level of 24 hours urinary selenium likely to be correlated with global selenium deficiency.Conditions and symptoms associated with the studies HypothyroidismCardiovascular DiseaseSome suggest that cholesterol increases with the increase of TSH while others refute this claim. Blood pressure is often high. These changes are markers of increased cardiovascular disease gain risk.Weight / FatigueHypothyroidism results in decreased metabolism, which in turn can lead to weight gain. In addition, slow speech, the slowdown in physical function, and facial expression can occur.Considerations deaf LevelsTriiodo Lowthyronine (T3), thyroxine (T4), improving conversion T4 supplements T3Nutritional to considerIodine, tyrosine forced T3Selenium needed to convert T4 to T3DHEA been shown to increase self T3.Adaptogens can normalize cortisol levels and avoid TSH.Supplement induced cortisol suppression with levothyroxine (T4) consisting combined T4 and T3, or natural thyroid considerationsReduce extracts.Lifestyle stress as stress and high cortisol levels can inhibit the release of TSH which reduces the production of T3. soybean intakeLimit Reduce or eliminate exposure to toxic metals including considerations mercury.Other estrogen can alter the conversion of T4 to T3.Conversion is affected by aging, hunger, alcohol, diabetes, kidney disease, hormonesEstrogen stress.Minor (estradiol, estriol, estrone) , progesterone (prepares the uterine lining) and testosterone (sex) get older hormonal imbalance naturally produce fewer hormones. This sometimes leads to hormonal imbalances, including insulin resistance, so its hard to stay slim. Without However, hormonal imbalances can also occur at times in life before menopause such as premenstrual syndrome and during perimenopause. Symptoms can range from swelling of the feet and hands to the most severe symptoms, as many of the diseases we've come known as oldage diseases: stroke, cancer, diabetes, Altzheimers, Osteoporosis Perimenopause symptoms can be similar to PMS (estrogen dominance, progesterone deficiency, and hypothyroidism), and can lead to irregular or long periods abundant. Many times, doctors may prescribe sleeping pills, antidepressants, drugs, RX, and even surgery to women complain of symptoms of hormonal imbalance, when in fact, could have an endocrine problem having to do with cortisol and while this can relieve symptoms, hormonal imbalance remains a threat. Studies show that by restoring the estrogen / progesterone hormonal balance to normal, many women experience dramatic improvement.Estrogen: estradiol, estrone, estriolEstrogens pharmacist risksMy estrogen describes the relationship as follows: Think of it as three sisters. estradiol and estrone are bickering. estrone (the highest fat) is the most aggressive, while estriol (the highest during pregnancy) is the manufacturer of peace. In other words, the role of estriol, are still studying, is to counter the proliferation of cancer cells, including cancer promoted by its more powerful siblings, estrone and estradiol. In addition, fat cells make estrogen, a player important in prostate and breast cancer, most treatments are only estrogens estradiol and estrone. If we want to limit fat intake, therefore, estrone, Picardie's sister, best to avoid fatfree foods because the bodys response is to stick to fat if you think you are starving. Ironically, being diagnosed as estrogen dominant not necessarily mean having too much estrogen. It just means that there is too much relative to progesterone and, therefore, can be both with estrogen deficiency and estrogen dominant, at the same time You just even more deficient in Europe progesterone.Benefits estriol, estriol has been used for over four decades to successfully treat hot flashes, night sweats, and urinary problems and estriol is heavily investigated as a topical cream for face wrinkles in Europe (the purchase estro500.com). Estriol Bioidentical urinary incontinence: A Swedish study of 40 postmenopausal women with urinary incontinence up to ten years there was a 75 percent improvement treatment with bioidentical vaginal estriol. Eight of the participants who had lost the ability to regulate urination returned to normal. Estriol is the estrogen that is most beneficial to the vagina, cervix and vulva. In cases of vaginal dryness and atrophy, which predispose a woman to vaginitis and cystitis, estriol is currently the most effective and safest estrogen use. Estriol is recommended for the treatment of urinary tract infections and urinary incontinence and leakage. In a controlled study, 629 women suffering from stress and urge incontinence were treated with estriol, administered vaginally at a dose of 1.0 mg daily for three weeks, and 1.0 mg twice a week for a period of three weeks. Even a 82 percent improvement in symptoms of stress incontinence was noted. voluntary control and urinary urgency symptoms were improved by more than 80 percent of patients. The frequency was reduced almost 50 percent. vaginal lubrication was improved by 77 percent and painful intercourse was no longer present in 88 percent.According to this study group, the recommended dose for intravaginal estriol is 0.5 mg to 1 mg once daily for three weeks, 0.5 mg to 1 mg once a week for six months. If you use this treatment, should be examined to determine whether vaginal atrophy is improving. If you've improved, you can discontinue use or use estriol 0.5 mg to 1 mg once every two weeks for another six Prevents incontinence operation months.Simple extra four points can help prevent a lifetime of bladder problems in women. Dr. Linda Brubker Loyola University published a study in the New England Journal of Medicine April 13, 2006 that shows a simple technique could resolve years of problems in which surgery for uterine prolapse, a painful condition that occurs when the uterus sags in the birth canal. childbrith frequent increases the chances of this happening. Hundreds of thousands of women in North America have repair many more have surgery or hysterectomy (complete removal of the uterus) to solve the problem. Operation often leads to bladder problems, especially for leakage. However, the latter study found that only add four permanent stitches, two on each side of the vagina to the pelvic ligaments to form a hammock maintains stable urinary control muscle . If you have this type of surgery ask your surgeon to do this step. You can resolve years of leakage problems of the bladder. The Kegel exercise the bladder and vaginal muscles Remember to do your Kegel exercises every day to develop strong muscles the vagina, preventing prolapse of uterus and bladder and eliminate urinary incontinence, urinary frequency and more. If you sneeze or laugh and leakage of urine due to Kegel. Start by tightening the muscles of the vagina and urethra relax after , then squeeze the muscles relax again and do this often .... It is similar to the action we use to stop and start urine flow. Kegel exercises also strengthen weak bladder and do much more intense orgasms estriol . Bioidentical bone density: Japanese bioidentical estriol studies to improve bone density have shown a positive effect. The most powerful bioidentical estradiol reduces postmenopausal bone loss. Because BiEst and TriEst contains a combination of estriol with estradiol, these formulations may have positive effects on bone. Bioidentical Estrogens Estriol force counters: Bioidentical estriol in normal, low doses do not cause proliferation of the endometrial lining and does not cause proliferation of breast tissue . It also blocks and counters the action of estradiol and estrone stronger. The best use of bioidentical estriol is in combination with natural progesterone.Estrogen is responsible for: liningMaintains Regrowth of bladder tissue and estriol healthEffects moodEstradiol not used much in bhrtToo A. competes with thyroidB. cancerC within the uterus. FibroidsD. mood swings. bleedingToo little heavy irregular: intercourseJ painful A. Vaginal drynessB. libidoC Baja. Foggy brain / concentrationD poor flushing. Depression. HeadachesF. InsomniaG. sweatsH night. PalpitationsI .. skinTestosterone dry: sex hormone. too much can cause the voice to deepen, irritability, hair growth and acne, which is necessary to verify the amount of testosterone and free testosterone and in bloodstream, in order to get a RX. Losing fat and testosterone increased by weight lifting and muscle development. Benefits: burns fat Since the heart is a muscle, testosterone is good for the heart Deficiency : incontinence, palpitations, low libido, vaginal dryness, fatigue, memory loss, confusion, normal range: testosterone in premenopausal women is 10 55 N / dl .. 06 ng / dL of free testosterone were found in the center. Supplementation: Bioidentical testosterone = dheaProgesterone feel good hormone (made in the ovaries of women menustrating) is why many pregnant women say theyve never felt better despite being the heaviest been.FunctionsHelps theyve never burn fat for the liningNecessary uterine energyMaintains for the fetus to survive until birthIncreases libidoHelps prevent cancerAnti breast and endometrialanxiety, antiprogesterone imbalance depressantSymptoms include MoodinessHot libidoBreast gainBloatingLow flashesDepressionWeight tendernessPremenstrual downExcess symptomsBreak syndromeMenopausal: Causes of mild depression, because it diminishes within the yeast estrogen tenderness / candidaDeficiency: fibroids increase in fat hips, thighs irregular bleeding infertility Decreased breast cancer fibrocystic breast disease uterine libido ovarian cysts ovarian cysts ** cause a range of symptoms including periods of heavy and prolonged pain, burning and urinary incontinence. They are not diagnosed with pelvic exams alone. For this reason, if you are experiencing symptoms, you should apply a vaginal ultrasound. supplementation do: Supplement the body with natural progesterone from wild yam to overcome the domination estrogen and restore hormonal balance. dont: the use of synthetic HRT (Provera, medroxyprogesterone, Prempro, Premarin) in the correct amount, bioidentical progesterone can: Have a calm effectEnhance fat moodsNormalize sex sleepIncrease driveUse for energyReduce symptoms of fibrocystic breastsDecrease osteoporosisProtect against the risk of endometrial and breast cancerStabilize blood sugar functionEstrogen thyroid, progesterone balance actThe balance of progesterone and estrogen is crucial. Estrogen is important in regulating the menstrual cycle, but too much can be toxic, creating a condition, estrogen (dominance) that comes with a number of harmful side effects. Progesterone is produced in the ovaries of menstruating women and the placenta during pregnancy. It is the highest during the two weeks before menustration and helps keep estrogen under control. Unfortunately, at the onset of menopause, during perimenopause, the decline in hormone production (including both progesterone and estrogen). This dramatically altered estrogen / progesterone relationship often leads to unopposed estrogen. As a result, the risk of breast cancer and endometrial / uterine cancer, fibrocystic breast pain, ovarian cysts, uterine fibroids and osteoporosis increases. Other symptoms include hypertension, salt retention and water, abnormal blood clotting, excessive body fat, and hypothyroidism. How traditional Western medicine is typically (PERI) symptomsWestern medical menopause menopause typically seen as an estrogen deficiency syndrome and prescribe Premarin, a synthetic estrogen source comes from the urine of a pregnant mare (other names include Prempro, Premphase, Prempac and Premelle). But when I went to my doctor about the bleeding and a prolonged period because it still had a period, my estrogen is considered acceptable , and I was prescribed medroxyprogesterone (synthetic progesterone) to stop until the bleeding can be scheduled for surgery, which later declined. medroxyprogesterone, manufactured by pharmaceutical companies to be much more powerful than the bodys own natural progesterone is metabolized as a foreign substance into the toxic metabolites, which can seriously interfere with the bodys own natural progesterone and further exacerbate estrogen dominance. Side effects include increased risk of cancer, abnormal menstrual bleeding, nausea, depression, effects of masculinizaci�n, y la retenci�n de l�quidos. Si bien a�n no ha detener el sangrado, sin otras opciones disponibles para m�, segu� este curso de tratamiento durante meses, mientras buscaba respuestas, hasta que un viaje a la sala de urgencias y una ecograf�a vaginal revel� un quiste ov�rico se hab�a desarrollado. Una prueba de la hormona de la saliva mostraron mis niveles de progesterona eran deficientes tambi�n. He de suponer que este tratamiento realmente exacerbar la dominaci�n del estr�geno. Pero no puedo estar seguro sin haber probado mis niveles hormonales antes de comenzar el tratamiento. Por eso es importante poner a prueba tus hormonas durante el tratamiento para ver qu� direcci�n se dirigen. Sin embargo, la alternativa, la cirug�a, no era la respuesta. Si yo hubiera aceptado una histerectom�a, la miomectom�a, la ablaci�n o cualquier otra cirug�a orientaci�n del �tero (el origen del sangrado, ardor y dolor, pero no la causa), me habr�a quedado desequilibrado y, por tanto, abierto a muchos otras enfermedades, incluyendo uterino intentos fallidos de endometrio y c�ncer de mama. Una mejor treatmentAfter en muchos remedios caseros que encontr� en el Internet, me acord� que yo hab�a usado con �xito las hierbas chinas para reducir los tumores fibroides antes de quedar embarazadas. me encontr� con un m�dico a base de hierbas chinas y se cur� en diez d�as. Pero , mientras que la hemorragia se cur�, he desarrollado otros s�ntomas que pueden haber sido causadas por cualquiera de los tratamientos, incluyendo las hierbas chinas, empujando mis niveles hormonales demasiado lejos en otra direcci�n. Necesitaba averiguar cu�l es mi nivel de hormonas eran. Una prueba de saliva se indica una deficiencia de progesterona. Mi consultor farmac�utico recomienda bhrt. bhrtThe Por qu� el cuerpo se transforma f�cilmente en progesterona natural, hecha de �ames silvestres y los frijoles de soya, en la mol�cula id�ntica y fabricados por el cuerpo. Algunas mujeres se sienten efectos en menos de una semana de uso. Para los que son especialmente deficientes en la progesterona, puede tomar de dos a tres meses para restablecer los niveles �ptimos. efectos secundarios adversos: si se toman de manera inapropiada, podr�a alterar ligeramente el calendario del ciclo menstrual. El conexi�n de c�ncer, sin duda usted ha o�do informes contradictorios que une la THS para el c�ncer de mama y no sufrir�a de tener una oportunidad con su vida. Estos estudios se efect�an con las hormonas sint�ticas, no bhrt, que ayuda a prevenir el c�ncer y otras illnesses.Controversy sobre el beneficio de tener un periodIt Se dice que una vez que inicie bhrt, puede que nunca tenga que renunciar a sus per�odos. Esto no significa necesariamente que el youll seguir siendo capaz de concebir desde la concepci�n depende de su capacidad para hacer huevos viables y de un per�odo no garantiza que va a producir huevos. Por otra parte, los theres ninguna garant�a de que usted no queda embarazada, tampoco. Ahora se debe estar preguntando Por qu� alguien querr�a seguir teniendo la regla Algunas cosas creo que mientras las mujeres premenop�usicas, que no son tan susceptibles a las enfermedades del coraz�n como son nuestras contrapartes masculinas. premenopausia los desequilibrios PMSHormonal puede ocurrir a cualquier edad por muchas razones: la exposici�n a productos qu�micos t�xicos, el estr�s y las p�ldoras anticonceptivas, por nombrar s�lo algunos. desequilibrios en premenop�usicas las mujeres pueden aparecer como manchas irregulares o falta de periodos, y de otras maneras. Al igual que con las mujeres post menop�usicas que est�n, los desequilibrios deben abordarse, ya que puede tener un efecto de la fertilidad y la salud en el futuro si no se tratan. Los hombres y las hormonas Andropausia (la menopausia en los hombres ) La testosterona es bajo y el estr�geno es muy alto, la sangre tiene una mayor tendencia a la coagulaci�n que conduce a trombosis o s�ntomas cardiacos. estr�geno ama c�ncer. Por lo tanto, el c�ncer de pr�stata. bhrt disminuye el riesgo de c�ncer de pr�stata y colon y progesterona ralentiza el crecimiento del c�ncer . Por lo general, todos los hombres necesitan son la testosterona por RX OTC DHEA (disponible). isnt Menopausia s�lo para las mujeres. Mientras que las mujeres ganan peso en todo, los hombres de peso en sus secciones medias. Los hombres tambi�n comienzan a perder su pelo y se vuelven menos activos debido a las mujeres, como la fatiga y son propensos a las enfermedades que, hasta ahora, pens�bamos que eran una parte natural del envejecimiento. La buena noticia es, que se puede evitar y podemos vivir la segunda mitad de nuestras vidas, sentirse bien y ser tanto f�sica como sexually active . The best news of all is, we may even get to live longer!Risk factors for low testosterone and high estrogen in menOptimal blood level (men only): 2024 pg/mL of free testosterone; 2030 /mL of estradiolAging men suffer the dual consequence of waning testosterone with the testosterone they do produce being converted to estrogen. This condition has been linked with heart attack and stroke in studies. Other supplements you should try:Myomin and/or Dim Women and men experiencing estrogen dominance can also use DIM and/or Myomin to help metabolize and reduce unhealthy estrogen levels. Found in EstroSense available at Whole Foods Stores.Enzymes our bodies produce less as we get older. Helps reduce inflammation and fibroid tumors. Probiotics promote digestive and immune healthVitamin D during cold winter months when we are primarily indoors. D promotes calcium absorption and helps protect our bones.Selenium plus other minerals and amino acids in a good multivitaminCoenzyme Q10 for heart health. It also has antioxidant properties. It can be found in beef, peanuts, and organ meats, such as liver. It becomes depleted with conditions, such as diabetes, Parkinsons, cancer, Aids, Muscular Dystrophy.Omega 3 found in fish oil, flax seed oil, and walnuts is essential but our bodies cant produce it . Amberen (available online at amberenonline.com) resets the pituitary to balance hormones without bhrtB12 for energyJuice Plus not just a vitamin whole food (available in fruits, vegs, berries, Resveratrol)DHEA (bioidentical testosterone)HGH spray for under the tongue available behind the counter at the health food store (our bodies produce less as we get older)Vitamin K to regulate calcium for bone health and clotting to stop heavy periods. Deficiencies can lead to nose bleeds, easy bruising and extremely heavy menstrual bleeding (menorrhagia ). Vitamin K Comes from green leafy vegetables. Unfortunately, Most multivitamins don#39;t contain vitamin K. Found in EstroSense available at Whole Foods Stores.Testosterone (by prescription only)Chinese herbs are very effective at stopping prolonged or heavy periodsFiber Choice Not only healthy, but aids in weight loss. The reason weight loss is so difficult for aging adults is there is no single answer. There are many different causes, including diet, activity level, environmental factors, stress, and hormones.If you are concerned about estrogen dominance, Meta I 3 C by Metagenics, featuring a compound found in cruciferous veggies, such as cabbage, broccoli, and brussels sprouts, may be taken to break down and metabolize excess estrogen. Found in EstroSense available at Whole Foods Stores.What you need to do and what to expect:1. Google wellness centers that practice bioidentical hormones or a compounding pharmacy in your area where you can have a baseline hormone test done. You can also order a saliva test kit online. The benefit of working with a pharmacist consultant is they are trained and knowledgeable and can help guide you. They should be able to recommend an endocrinologist specializing in bioidentical hormones as well as interpret the test results and can work with your doctor to suggest the best treatment. A blood test may be needed to test your thyroid function (TSH). Depending on your symptoms, you may also need to see a gyno that specializes in urology and can perform a pelvic exam using ultrasound.2. After having a baseline hormone test of estrogen , progesterone, TSH and complete blood panel, bring results to your compounding pharmacist. Make sure your tests include:a. Thyroid/adrenalsb. Lipidsc. 3 components of Estrogen: Estrone, estriol, estradiald. Testosteronee. Cortisols3. Pharmacist consultant will request a rx (for b. estradiol progesterone if needed) or you can get it online without a rx. He/she will tailor hormones to your needs based on doctors rx as determined by tests. 4. Most likely, at least in the beginning, you will take .5 mg Estriol 2x/day 12 hrs apart since it is in and out of the body so quickly plus progesterone beginning on day 7. If you bleed early, you may be taking either too much progesterone or not enough estriol and may need to have your blood levels checked again.5. If you are having symptoms, google them and look for forums. This is a great way to find others with similar experiences who may be able to provide some ideas you may want to consider.Where to find products and information on the internet without a doctors appointment or RX: Energeticnutrition.com Google Womens Health Institute Saliva test kits at: johnleemd.com/store/prod_stest.html. Blood test kits lef.org/blood or 800 208 3444 After order is placed, you will receive a requisition form to take to the local LabCorp for blood work. Results will be mailed directly to you. You can discuss results with a LifeExtension health advisor at 8002262370 or you can take them to your compounding pharmacist consultant or physician.Who you should talk to:Google endocrinologist and/or gynecologist specializing in urology (both should specialize in bioidentical hormones) in your area or find a compounding pharmacist. Some perimenopausal women experience urinary incontinence and /or irregular periods and may require a vaginal ultrasound if they are concerned they may have fibroids.Tell your doctor to prescribe estriol and progesterone (start date varies, depending on who you talk to). According to Suzanne Somers, bhrt given in a continuous combined way is harmful because combined hrt does not mimic normal physiology (but some DOs disagree with this). She goes on to say that if prescribed this way by your doctor, you will not have a period and will become insulin resistant since high progesterone levels block the action of insulin. Signs of insulin resistance are weight gain and a craving for sweets. According to her, even though the hormones are natural, this is harmful because daily low doses of estradiol and high doses of progesterone result in the same risk of disease as with synthetic hormones. Cortisol and insulin levels will rise higher than normal when taking hormones in a way which does not mimic how our bodies work naturally. She concludes that hormones should be taken in a cycling manner as opposed to combined continuous ( in other words, estrogen and progesterone every day). Doctors charge upwards of $200 for a consultation alone before even laying a hand on you. If you do not have access to a doctor and/or would like to save money, you can try balancing your hormones on your own without making a huge investment by purchasing products online at the websites that are listed.Resources:The Sexy Years by Suzanne Somers (attending physician, Dr schwarzbein located in Santa Barbara, CA) Excellent reading, highly recommendedCannon Drugs Wellness Center Compounding PharmacyThousand Chinese Herbs Tea Co.Los Alamitos Holistic Medical CenterLifeExtension MagazineLorna Vanderhaeghe#39;s Newsletters and Articles How to find a Doctor Who Uses Natural HormonesNote that when choosing a doctor, you should be aware that not all doctors agree on how hormones should be used. For example, while some doctors think it#39;s good practice to have menopausal women menstruating again, others feel this is not a safe practice. Ultimately, it is up to you to decide what is best for your body based on your own circumstances.One of the best sources of information for finding a doctor in your area is your local compounding pharmacist:COMPOUNDING PHARMACISTSCompounding pharmacists make individualized medications, including natural hormones and many of them work with doctors who use natural hormones. In fact, many compounding pharmacists are more educated than the doctors they work with about how to best use natural hormones, and can help educate and guide a doctor who is unsure. For a referral in your area contact IACP (International Academy of Compounding Pharmacists), (800) 927 4227, ext 300, or go online to www.iacprx.org and plug in your zip code.American College for Advancement in MedicineP.O. Box 3427Laguna Hills, CA 92654(800) 5323688In California: (714) 583 7666American Association of Naturopathic Physicians601 Valley St., Ste . #105Seattle, WA 98109(206) 2980126Website: www.naturopathic.org/welcome.htmlAmerican Holistic Medical AssociationResources for natural HRT.23366 Commerce Park, Suite 101BBeachwood, Ohio 44122Ph:( 216) 2926644Fax: (216) 292 6688 WebSite: www.holisticmedicine.orgProfessional Referral Networkwww.healthreferral.comPlease go to our blog, karenandrhonda.blogspot.com, to read and comment on our posts. The purpose of our blog is to share important health tips so that we can be proactive in our own health. I embarked on a year long search for answers resulting in this article because doctors either couldnt or wouldnt provide answers for many of the problems I began to experience other than surgery or prescription drugs. I found the rx drugs I was given by doctors to be ineffective and dangerous to my health and learned that the surgeries that were recommended would have been useless in treating my condition. I have found success using the natural treatments mentioned in this article without risk and best of all, I still have a fully functioning uterus that has not been obliterated. Thank you for reading this. I hope you join me in this. The following blood tests should be included with your annual physicalv Men:CBC Complete blood panel, DHEA, PSA, total free testosteronev Women :CBC Complete blood panel, Estrogen, Progesterone, TSH, T4, free T3 4, cortisol, PS Please read the article below to find out why you shouldnt just trust your doctor on this:Struggling to Make Cents of the Hormone Replacement DisasterBy Roby Mitchell , MDI recently spoke with Walter Willett, MD, chairman of the Dept. of Public Health at Harvard Medical School. Dr. Willett was a lead investigator in the Nurses Health Study. Our conversation quickly turned to the abrupt cancellation by the NIH of the study of combined estrogen and progestin hormone replacement therapy (HRT) in healthy menopausal women. The study was cancelled due to a finding that the treatment resulted in an increased risk of invasive breast cancer. Dr. Willett agreed with me that: 1) the results were not surprisingas he and his colleagues have been releasing this information for years; and 2) it is naive to think the manufacturer, WyethAyerst, didnt know this years before. They basically murdered thousands of women by allowing them to get breast cancer, heart attacks, and strokes, using an unsafe product. It took the NIH five years to deem this therapy unsafe. However, the products have been on the market for over 50 years. The NIH budgeted $600 million to fund the complete 8year study that was stopped after only 5 years. WyethAyerst and their parent company, American Home Products (who also brought us Fen/Phen) have made billions of dollars selling Premarin and Provera. This company, the worlds 10th largest, posted global earnings of $3.22 billion last year, up from $3.03 billion the previous year. Much of this increase was from consumer advertising, using stars like Patti Labelle and Lauren Hutton. American Home Products made $522 million dollars selling vitamins like Centrum in just one quarter. With that kind of money they could have easily paid for this study years ago if they had consumer interest in mind. Their interest is profits. Medical SilenceThe medical profession has to share in the blame of this national disgrace, in particular, teaching institutions. Pharmaceutical companies spent about $60 billion in 2000 financing 70 percent of the clinical drug trials. Academic centers vie for these dollars to keep their departments going. This creates a severe conflict of interest that leads to a tainted flow of information to the general medical population. A survey of 192 medical experts in the Feb. issue of the Journal of the American Medical Association revealed that 90 percent of said experts had some type of financial relationship with a drug manufacturer, including research financing, speaking and consulting fees. You wonder how on earth it took 50 years for the dangers of Premarin and Provera to come to light. Silence from medical experts was paid for. Also bought was the proclamation from medical experts about the many benefits of Premarin and Provera. The Dept of Ob/Gyn here at Texas Tech Medical School (my alma mater) receives more than one income stream from Wyeth and routinely brings in Wyeth subsidized experts to train a new generation of physicians about the benefits of Premarin and Provera. Synthetic HRTThe downplaying of the risk of using animalderived and synthetic HRT is even more despicable. The spin doctors calmly stated that for every 10,000 women on HRT during one year, only eight more will have invasive breast cancer, only seven more will have a heart attack, only eight more will have a stroke, and only 18 more will have blood clots. Sounds benign, doesnt it It does, until you do the math. There are 810 million women currently using HRT, according to Dr. Willett. Using conservative numbers, that adds up to 6,4008,000 cases of invasive breast cancer, 5,6007,000 heart attacks, 6,4008,000 strokes, and 14,40018,000 cases of blood clots to organs such as the lungs. That adds up to 32,800 cases of drug induced morbidity EACH YEAR!!! If only 1/10th of these women died, that would be equivalent to having a 9/11type disaster each year. Were looking for the wrong terrorists. And these numbers dont include other side effects of this therapy such as fluid retention, weight gain, gallbladder disease, vaginal bleeding, depression, diabetes, and reduction of the cancer fighting B vitamin, folate. Environmental Effects of HRTUnfortunately the harm that these drugs do doesnt stop with women. Once they go through the liver they are conjugated to make even more potent hormone analogs. These are then excreted as human waste and flushed down toilets into lakes, streams and rivers. An EPA scientist first detected drug contamination in our waterways 30 years ago, according to Christian Daughton, chief of environmental chemistry for the EPA. If you know the chemistry of estrogens and progestins you can extrapolate some disturbing explanations for the increase in many common diseases. Estrogens increase cell multiplication in estrogensensitive tissues, a cornerstone in the causation of cancer. The association of Premarin with breast and uterine cancer is well established, but most physicians are still unaware that the prostate is an estrogensensitive tissue, also. The prostate is formed from the same embryonic cells as the uterus. Why has the incidence of prostate cancer gone up each year since Premarin was introduced These same estrogens are effective in causing premature puberty in girls (a risk factor for breast cancer) and breast tissue growth in boys. Ask any older pediatrician if these are new developments since the introduction of Premarin. Estrogens facilitate the growth of yeast in the body. Yeast causes inflammation in body tissues, like the lungs, similar to the inflammation seen in diaper rash and vaginitis. Asthma is another disease marked by inflammation, and it has become epidemic. Ive cured most cases of adult onset asthma in my practice by treating patients with antifungals. Estrogens increase brain activity by speeding up neuronal transmission, facilitating neurotransmitter production and increasing nerve connections. Sounds like a good thing, and indeed it is when it allows a woman to perceive the sniffle of a newborn while dad sleeps through. However, in the brain of a male child who doesnt have much of the antiestrogen effect of progesterone, you can predict ADD and ADHD. Estrogens inhibit thyroid function. There is an epidemic of false negative hypothyroidism (clinical hypothyroidism in the face of normal lab values) here in the U.S. according to top endocrinologists like Ridha Arem at Baylor Medical School. Hypothyroidism then leads to a cluster of other problems like chronic fatigue, depression, carpal tunnel syndrome and osteoarthritis. These associations may seem a stretch to the uneducated, but validated estrogen chemistry is the link that ties them all together. The results from the NIH study with Premarin and Provera are just the tip of a big iceberg. I deem it criminal for them to continue the Premarin only arm of the study. We know too much about the cancercausing effects of this drug. Human hormone analogs have been available here for over 20 years, and it makes no more sense to continue using horse estrogen than it does to continue using pig insulin. Premarin continues to be prescribed because it makes cents! Roby Mitchell, MD, trains doctors and pharmacists on the adverse impacts of deficiencies in estrogen, progesterone, testosterone, thyroid hormone, growth hormone and DHEA in men and women, and the benefits that can be achieved through replacement therapy using bioidentical, rather than synthetic hormones.tid bits (things you should know)Check your Ph balance. If acidic, your liver is not working as efficiently as possible and you may become estrogen dominant as estrogen starts to accumulate in the body. If you have a weak liver, drink plenty of water to help cleanse. Ironically, fruits, which would seem to add to your acidity, actually help you to become less acidic. Mercury behaves as estrogen. (Mercury that the dentist puts in your teeth is labeled as poison). Each tooth is connected to an organ along meridians. br br

Introduction: The average woman ovulates about 400 times between puberty and menopause, usually at intervals of

Introduction: The average woman ovulates about 400 times between puberty and menopause, usually at intervals of approximately 28 days. If an egg is fertilized, the pregnancy continues, otherwise the uterine lining is shed during menstruation. The functioning of the female reproductive system is controlled by the pituitary gland, which in turn takes its orders from the hypothalamus in the brain. A variety of disturbances and imbalances in the body can modify the influence on the brains of the pituitary gland, thereby altering levels of hormones, many women believe they are responsible for the psychological as well as psychological problems. A holistic view of the functioning of the female body is very suitable for the application of homeopathic principles, and there is much anecdotal evidence of success in handling complaints homeopathys Women. Homeopathic remedies can be an attractive alternative to conventional treatments such as hormone replacement therapy (HRT), which can have unpleasant side effects effectsand are particularly suitable for treating diseases associated with recurrent reproductive cycle.PREMENSTRUAL syndrome (PMS) PMS affects 75 percent of women in some degree for several days before a menstrual period, and includes physiological and psychological symptoms. Many women still take more or less normal life despite feeling sad and irritable, but ten per cent of cases the symptoms are severely debilitating. Physical symptoms include tender, swollen breasts and abdomen, fluid retention, and the juvenile period type pains. PMS can be exacerbated by nutritional and hormonal imbalance, stress, overwork, allergy, and psychological factors such as Help depression.Self: Avoid salty or fatty foods, junk food, sugar, tea, coffee and alcohol. Eat protein normal, small, rich snacks, but reduce consumption of meat. Take 30 minutes of daily outdoor exercise and practice relaxation techniques or meditation. If you smoke, quit. Their own pace to avoid stress.CAUTION: If symptoms persist, consult a condition doctor.SPECIFIC: 1. PMS with apathy, irritability, crying and oily skin, acne possibly Desire for salty or sweet tiredness, especially in the morning feeling as if the uterus is falling possible sinus problems, sore throat, and flushes2. PMS retention with swelling, pain in the breast fluid that aggravates any weight problem of lack of energy swollen breast pain and joint pain or thrush3 Possible vaginal discharge. PMS with Desire for selfpity sweet swollen stomach swollen face, especially in the upper eyelids headaches, nausea and dizziness yellowish vaginal discharge.PAINFUL periods (dysmenorrhea) The discomfort is common during the early days of the menstrual period. Symptoms include a dull ache in the back or lower abdomen or abdominal pain. The pain can be exacerbated by stress, but may improve after childbirth or after a woman reaches her thirties. Sudden pain after years of painfree periods may indicate an infection, endometriosis (the formation of cysts in the pelvic cavity of bleeding fragments of the lining of the uterus) or fibroids. The use of intrauterine devices or out of the contraceptive pill can also result in painful menstruation.Self Help: Eat lots of fruits and raw vegetables. Too much exercise and lose weight if necessary. Between the periods, taking the occasional short, cold bath during the week before a period, taking a long hot bath every night. A physiotherapist or an osteopath may be able to relieve associated pain.CAUTION: If periods are consistently more painful, see a doctor.SPECIFIC condition: 1. Abdominal pain with depression and selfpity cramps in the uterus that causes nausea or vomiting, Tenderness in the abdomen Tearing in the lower abdomen or diarrhea migraine possible flow of blood includes blood clots or is very scanty2. Abdominal pain with irritability, crying, and indifference Sharp, piercing pain in the lower abdomen feeling as if the uterus is falling with possibly cramps migraine, acne, weakness, sweating, and fainting3. Abdominal pain relieved by heat and pressure colicky, spasmodic pain flow includes dark blood clots, fibrous, and tarry blood flow period begins before schedule.ABSENT periods (amenorrhea) Absence of periods may be permanent or temporary. If periods have not started before the age of 16 (primary amenorrhea), the cause is the delay of puberty. If menstruation is established but suddenly stop periods (secondary amenorrhea), this may be due to anorexia or loss of heavy weight, or excessive exercise (especially if the diet is vegetarian). Amenorrhea can also be caused by stress, shock travel (especially longhaul flights), emotional stress, coming off the contraceptive pill or hormone imbalance. On rare occasions, due to the displacement of the uterus (if it is tilted backwards). Periods may also be delayed after childbirth.CAUTION: If the periods of absence for more than 9 months, consult a AILMENT1 doctor.SPECIFIC. Periods stop abruptly after a shock feeling of heaviness and pain in ovaries sudden, sharp pain in the abdomen is inflated uterus and vagina is sensitive to hot, dry sensitive2. Periods stop after emotional stress may not have symptoms related to possible global reproductive organs in the throat as possible headache like a nail being driven in head.HEAVY periods (menorrhagia) Heavy periods are defined as those with heavy bleeding , or floods, which rapidly absorbed through any sanitary protection and may include large blood clots or bleeding that lasts longer than seven days. May be due to pelvic infection, hormonal imbalance, fibroids, endometriosis (the formation of cysts in the pelvic cavity of bleeding fragments of the lining of the uterus), stress, overwork, or menopause. The use of intrauterine devices can also increase menstrual blood help flow.Self: Reduce your intake of tea, coffee, alcohol, milk and milk products and eat plenty of raw vegetables. Take 30 minutes of moderate exercise every day, but avoid overexertion.CAUTION: If your menstrual cycle is regular, but the flow is heavier than usual or has any other change, consult a physician. If you have had sex regularly and a time lag and heavier than usual, see a doctor within 12 Ailment 1 hours.SPECIFIC. Heavy periods in women with overweight aggravates fluid retention that a weight problem as possible back pain, sweat, and the awkwardness of blood is bright red periods are possible irregular2 abdominal cramps. Heavy periods with apathy and indifference severe abdominal cramps itchy vaginal discharge during menstruation sweating visual disturbances such as spots or flashes are irregular3 periods. Heavy periods with nervous excitement flow of dark blood clots include intermittent bleeding, abdominal cramps, headache, dizziness and fainting face.MENOPAUSEMenopause very clear is the cessation of menstruation that occurs in women between the ages of 45 and 55. It should not be considered a disease but a fact of physical and emotional life that some women are better suited than others. The symptoms occur as a result of decreased hormone production by the ovaries, and include hot flushes, vaginal dryness, pain, dizziness, loss of appetite, tiredness, chills, and palpitations. Psychological symptoms include tearfulness, irritability, anxiety, nervousness, depression and insomnia. Menopausal symptoms can be exacerbated by stress. Counteract the reduction of hormone production is the basis of conventional treatmenthormone replacement therapy (HRT). Homeopathy does not believe that menopause simply in terms of hormones, but takes a more holistic approach to body imbalances that may have existed for a long time. Constitutional treatment can help REQUIRED.SELF: Avoid tea, coffee, alcohol and spicy foods, and eat little and often. Cotton underwear, lightweight clothing, and cool showers or baths will reduce the impact of hot flashes. Moderate exercise and practice deep breathing or yoga. Relieving vaginal dryness calendula ointment, and increase lubrication during sex with a vaginal lubricant.CAUTION: If there is any bleeding six months after the last period, or prolonged bleeding between periods, consult an ailment doctor.SPECIFIC: 1 . Inability to cope during menopause a headache that is worse in the left sweating on the face and back of the neck during sleep Desire for sweets joints2 swollen fingers. Menopause with hot flashes, sweating and fainting Feeling as if there is a pot boiling on the inside of the body that is relieved by the sweat of his head worse on the left side dizziness and fainting hot flushing sensation of constriction in the throat and abdomen3. Loss of libido during menopause Heavy, irregular periods, leading to possible dryness menopause vaginal candidiasis cause pain during sexual intercourse4. Menopause with hot flushes in heat Flushing, whether in a warm room or a room full of people tend to gain weight easily and migraine headaches that are worse on the left side Desires sweets PAINGeneral foods.BREAST breast tenderness is common before a period. Localized pain may be due to an abscess or tumor. Abscesses can develop from mastitis, while lumps may be caused by fibroadenosis (thickening of breast tissue), benign tumors, or cancer.Self Help: If breastfeeding, the breast is bathed in hot water. If breast pain has other causes, reduce intake of animal fats, tea and caffeine, fatty fish and meat substitutes and dairy products products.CAUTION: If you are breastfeeding and have chest pain, especially if is accompanied by fever, see a doctor within 24 hours. If the nipple or breast changes, or if a hard, sensitive areas and develops, consult a physician immediately.SPECIFIC disease: 1. Stitch is sensitive breast even touched breast is sensitive to the slightest touch of the breast is swollen and pain in the desire to push the nipple breast hard with your legs feel strong hands Possible reduction in sex drive2. Breast is hard and swollen breast is hard and swollen, and feels as if it might be the formation of an abscess in the least discomfort possible motion headache, but rare break any thirst Great constipation.CYSTITISThis term is generally used to describe an increased frequency of urination with the pain, but adequate cystitis is an inflammation of the bladder due to infection of the intestine. It may be accompanied by fever and a burning sensation when urinating. Cystitis affects mainly women, the female urethra is short and easily invaded by germs. The condition may be exacerbated by stress, antibiotics, contraceptives, poor nutrition, food allergy, personal hygiene, underwear and socks or sexual intercourse.Self Help: to increase alkalinity by drinking 10 fluid ounces (300 ml) of cold water every minute 20. Avoid tea, coffee and alcohol. Cystitis can be aggravated by certain foods, like asparagus, beets, citrus, strawberries, milk, ice cream, spicy foods, and junk food. Never suppress the urge to urinate, and be scrupulous about personal hygiene. Avoid using tampons, douches, and scented bath products. Using lubrication during intercourse. Urinating after intercourse.CAUTION: If there is pain in the kidneys or blood in urine, or if the seizure lasts more than 48 hours, see a AILMENT1 doctor.SPECIFIC. Cystitis with cuts, burns, burning pains, cutting in the lower abdomen constant need to urinate and a feeling as if the bladder can not empty properly only small amounts of urine passed Pain in lower Back2. Cystitis with irritability Only small amounts of urine are passed Chilliness3 despite frequent urging. Cystitis with a feeling of resentment Feeling as if a drop of urine is constantly leaking through the urethra Possible association with urinary tract surgery or vaginal invasion, including sexual THRUSHThrush intercourse.VAGINAL is caused by a fungus Candida albicans. Symptoms include tingling or pain in the vagina and vulva, discharge, and frequent urination. Acidification, infection fighting the bacteria that occur naturally in the vagina can be destroyed by antibiotics, contraceptives, vaginal deodorants, douches and medicated. Thrush is aggravated by stress, overwork, hormonal imbalance, pregnancy, and wearing tight clothes.Self Help: Avoid potential irritants. Rub with detergent underwear without salt before washing. Lubrication and condom use during sex. Allow air to reach the vagina as often as possible. Avoid sugar and yeast. Follow antibiotics with a supplement of acidophilus (such as live yoghurt). Douche the vagina three times a day with 5 ounces (150 g) plain yogurt diluted in 1 quart (liter) of boiled, cooled water or a dilute solution of fresh lemon juice or vinegar (1 tablespoon) and water ( 10 fl oz/300 ml). Acidifying preparations are available over the counter.CAUTION: If symptoms persist, consult a AILMENT1 doctor.SPECIFIC. Thrush with vulvar itching worse before menstruation Itchy vagina and vulva is worse after urination and menstruation before vaginal warts possible chronic headache or increased potential appetite2. Thrush with discharge that is worse after intercourse Itchy vagina and vulva white, with offensive odor is worse after intercourse pain and burning in the vagina labia3 possible ulceration. Thrush with rectal itching itching in the rectum and anus around the offensive odor, yellow or white vaginal discharge vaginal pain during sex Alternating constipation and flatulence and diarrhea. VAGINISMUSThis is a rare condition in which the muscles surrounding the entrance of the vagina contract. This makes sexual intercourse, medical examination of the vagina, using tampons or painful or even impossible. The spasms may be accompanied by back arching and straightening and drawing together of the legs. Vaginismus usually occurs in women who are concerned about the penetration of the vagina as a result of a previous medical condition or consideration, trauma including sexual abuse, or psychological factors like fear or guilt associated with sexual intercourse.Self Help : Practice relaxation techniques, meditation or yoga before any vaginal invasion.CAUTION: If symptoms persist, consult your physician for a referral to a gynecologist or a psychosexual AILMENT1 therapist.SPECIFIC. Extreme sensitivity to the vagina and vulva sensitivity of the vagina and vulva sexual desire increased despite the possible symptoms of urinary retention, constipation accompanied by abdominal cramping pains2. Vaginismus after a medical examination extreme sensitivity to the vagina and vulva bladder3 Possible irritation. The pain secondary to vaginismus Vaginismus is spasmodic and erratic itching of the vulva extending into the vagina Possible association with a lump in the throat. SICKNESSNausea morning and vomiting are common during pregnancy, especially in the first pregnancy. It is believed that hormone levels change during pregnancy trigger the vomiting center in the brain. Women often experience nausea and vomiting during the second and third trimester of pregnancy, although not necessarily only in the mornings. The symptoms usually disappear in about 14 to 16 weeks, although some women throw excess (hyperemesis), which can cause dehydration and chemical imbalances in the body. This condition can, in worst cases, require hospitalization.Self Help: Eat small, frequent meals and avoid fatty foods. If disease immediately after waking up, eating a cracker before getting out of bed. The use of fresh ginger in the kitchen can also help. An acupressure band, available in pharmacies, worn around the wrist, may also be effective. Get plenty of rest.CAUTION: If vomiting after most meals, see a AILMENT1 doctor.SPECIFIC. Nausea Nausea with a thick coated tongue is worse in the morning vomiting of small amounts of food with mucus Tonnage Dry mouth twitching and tongue coated thick Desire for fresh, fatty, spicy or acidic foods and an aversion to bread, meat, tobacco2 coffee. Nausea is worse at night Nausea that worsens during the evening, but disappears at night, dry mouth, thirst but the lack of digestion is upset by the rich, fatty foods below sternum pressure after meals foods3 Desires sweets. Constant nausea with clean tongue Nausea not relieved by vomiting Tongue feels clean and not lacking profuse salivacoated fainting.LABOR possible PAINSPain thirst is experienced in childbirth, as a result of uterine contractions that move to baby through the birth canal during labor. For most working women is a painful issue for some is unbearable. This may be because they have great sensitivity to pain or because the fetus is positioned so that the uterus has to work harder than usual to push the baby. Labor pain can be exacerbated by exhaustion, fear, anxiety and sometimes anger. Homeopathic treatment aims to calm emotions and to relieve pain and exhaustion.Self Help: Learn the techniques psychoprophylaxis (preventive measures that combine constructive positive thinking and breathing) to prenatal classes. They can help restore a sense of control in what may be an alarming situation. If they are very sensitive to pain, learn other relaxation techniques and consider acupuncture or AILMENT1 hypnotherapy.SPECIFIC. Labor pains with hypersensitivity to pain which seem so painful contractions that causes involuntary shouting and crying2. Labor pains with great irritability ineffective contractions pain that extends into the rectum with a frequent need to pass gas, urine or feces that causes spasms of pain in the neck of the uterus, which expands pains with properly3.Labor a constant need for reassurance and compassion Work is progressing slowly Chilliness.BREAST power PROBLEMSSeveral problems may arise during breastfeeding. The breasts may be too full for the baby to latch on to a nipple properly. Expressing milk before feeding can solve this problem. Milk may be too thin or have a flavor that the baby does not like. This may be due to the diet of mothers insubstantial, anxiety, exhaustion, or strongtasting food you've eaten. Breast pain as the baby may be due to inflammation of the breast tissue, an abscess or cracked Help nipple.Self: Bathroom cracked and sore nipples after each feeding with a solution of calendula and hypericum (10 drops of 10 fl oz / 300 ml boiled, cooled water). Do not use soap. Clean and thoroughly dry the teats and applying hypericum and calendula ointment. Leave them exposed to air regularly. Use of breast shields during pregnancy to get nipples.CAUTION inverted: If there is congestion or hardness, chest pain, fever and painful glands under the arms, see a doctor within 12 Ailment 1 hours.SPECIFIC. Throbbing, swollen breasts, or hardness of sinus congestion, with red streaks on the breast skin sensation of strong heat, the dry skin mastitis or breast abscess2 possible. Pain when baby nurses, the wrath of the mother Swollen nipples that are very sensitive to touch great pain as the baby suckles3. Milk engorged breasts is poor baby has difficulty latching on to a nipple breasts are so full that cause many potential discomfort chills or sweating, especially if the mother is content free Homeopathic overweight.Some receivables. Some important Homeopathic Medicine for Female Trouble: 1. Pulsatilla pratensis desire DELAYED first menstruation High . . Rules can easily control, agr. Wet feet . painful menstruation, delayed, irregular, changing, SHORT. Sexual desire increased labor pains . ineffective, malpresentation . fetus.2 changing. Bovista diarrhea, before and during menses.Menses too early and profuse, worse at sensation.Leucorrhoea night.Voluptuous acrid, thick, hard, greenish, still menses.Cannot wearing tight clothing around the waist [Lach.] Footprints menstruation.Soreness mensesbetween of the pubis during menses.Metrorrhagia; Parovarian cysts.3. Increased desire CalcareaCARB. Masturbation . dysmenorrhea. Menses too early, too profuse, too long. Dark, clotted . METRORHAGIA less emotion . fibroids in the uterus myoma. Polyps . Leucorrhoea vagina, itching, burning, agg. before or after menstruation, urination, effort; weakening.4. PLATINUM METALLICUMhypersexual. Nymphomania . Early masturbation in children (Gran, Med, Orig, Staph) . Voluptuous itching of the genitalia . hypersensitive and painful to touch, avoiding intercourse or examination . cysts, ovarian tumors, agr. side . Malignant tumors of the uterus, ovaries, testes, external genitalia . . numbness dysmenorrhea, menses too early, profuse, dark, clotted, stringy, with bearing down and painful sensitivity of the parties. 5. Sepia officinalis aversion to sex, agr. hormonal changes. Inability to have orgasm. Frigidity . painful intercourse. The pain to the vaginal leukorrhea . serious, even in girls. Agr vaginitis. pregnancy with very itchy . prolapse of the uterus. TAKING DOWNAmel. Sitting crosslegged (LilT, Murx) . The premenstrual syndrome. Menses scanty. Dysmenorrhea. Amenorrhea . . Condylomata infertility. HABITUAL ABORTIONS third to fifth months . Very sensitive to movements in the fetus and the uterus to play for you . Tight labour.6. PurpureaALTO MUREX sexual desire. CONTACT Nymphomania.LEAST causes violent sexual excitement (Plat) or pain . Aware of the uterus (Melon). Touch cervix, bleeding when touched . uterine prolapse. Sensation of protrusion. Supports the abdomen with hands.amel. Pressing the vulva (Lilt, September), agr. lying (Puls). You should keep your legs perfectly crossed (Lilt, September) . Cervical cancer . Irregular menses, very frequent, abundant, with clots. AMEL Headache. mental emotional symptoms . Pain in right side of the uterus, ovarian region to breast.Pains shot upwards to the left of the uterus. br br