Menopause

 

Hot flashes. Night sweats. Insomnia. Anxiety. No energy. Brain fog. Weight gain.  

Anyone?

 

Menopause

Do you suffer from hot flashes, night sweats, insomnia, anxiety, lack of energy, memory loss, brain “fog” or the many other symptoms that women may experience as their menstrual cycles begin to change?

Menopause is the lack of a menstrual cycle for a duration of one year. The time leading up to that event is called “perimenopause” and may be plagued by all of the above symtpoms.  These symptoms occur as our main hormones- estrogen, progesterone and testosterone- begin to decline in their amounts.

Progesterone is usually the first hormone to decline and this may begin in our late 30’s. Progesterone is thought to regulate the timing of our menstrual cycles, the quality of our sleep, our mood, and is required to balance the other hormone, estrogen.

Estrogen on the other hand, is thought to be responsible for building up the lining within the uterus, maintaining our brain power, helping maintain our body temperature and keeps our tissues healthy and well hydrated. Testosterone is the hormone for energy and metabolism, sex drive ( or libido) and a sense of self confidence. When these hormones are out of balance due to a decline or excess  of one vs another, then we will begin to experience symptoms like the ones mentioned above. 

Sometimes the imbalance does not cause a symptom but may cause an abnormality such as tissue growth such as that which occurs with the breast and uterus if there is too much estrogen and not enough progesterone. In these circumstances, the breast or uterus receives too much stimulation to grow and can develop cancer if not monitored.

 

So what can we do to help maintain the balance between the hormones? One of the best place’s to start may be with the diet. First, many of the meats and dairy products that we consume come from animals that have been given hormones to increase their production. These hormones are then ingested and taken into our bodies. It is best to buy organic meats and dairy which will not contain the hormones.  We can get excess estrogen from certain plastics such as plastic wrap and plastic containers, cups and water bottles containing bisphenol-A (BPA)  and Styrofoam products. So please be mindful of what you are using on a day to day basis in the environment. 

Here are some things that may help. Exercise is critical. Body weight  itself plays a role in our levels of estrogen. If we have excess adipose tissue, a chemical reaction will take place in the adipose tissue and this will create estrogen. Overweight individuals are at risk for both breast and uterine cancer for this reason. Consider some ways to stay active and increase your movement. Over the counter supplements may also be beneficial when balancing hormones.  Be sure to consult a qualified healthcare provider if you need help figuring out which supplements may be right for you. Also, consider reducing intake of caffeine and alcohol and increasing levels of exercise combined with proper rest.

Some women will find relief with the use of hormones to  supplement or help balance their current hormone levels. If you have fears, concerns, questions about this we would be happy to help. Call our office to schedule a consultation. We can talk about how to get you back on track. 

BioIdentical Hormone Replacement Therapy

BioIdentical Hormone Replacement Therapy

Bioidentical hormones are manufactured in the lab to have the same molecular structure as the hormones produced in your body. There is some controversy and confusion about the use of bHRT’s  due to the lack of well published medical studies in the US. These hormones differ from synthetic (pharmaceuticals) products because they lack chemical changes in their structure which  allow the drug companies to patent them.

Robotic Surgery

Robotic Surgery

There is something I want to share with you about a new technology I am using now as part of my surgical practice. I was first trained on the use of the Robot in 2009 however since 2010 I have been working more routinely with the da vinci Robot to perform many types of surgeries for women.