LifeCare Chiropractic

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perimenopause

HRT – Fact or Fiction?? – (12-31-01)

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HRT – Fact or Fiction??

This is an excellent editorial on the rampant use of HRT in medicine. The article uses well referenced material to basically state that there is a paucity of evidence to support the use of HRT in peri and post-menopausal women and even less on the safety. So why are meds like Premarin so incredibly prevalent? The cynic that loves a Mac over an IBM would gladly give you the answer–good marketing… Remember that managing perimenopause does NOT require medications in the vast majority of women. Blunt the estrogen peaks with progesterone cream (downregulates the estrogen receptors) and fill in the valleys with some form of phytoestrogens (soy, black cohosh, licorice…).

December 2001 SMJ

Read entire article here

Soy Product Consumption Seems to Protect Against Hot Flashes – (05-31-01)

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Soy Product Consumption Seems to Protect Against Hot Flashes

Those of us following natural medicine didn’t exactly drop our jaws at this study. I would like to take this opportunity to explain something that most people would find very shocking. During perimenopause, it has been shown that women’s estrogen levels are actually high. That seems to run totally contrary to what the medical dogma says, huh? Symptoms such as hot flushes actually result from a rapid change in estrogen levels. So, the goal of a woman in perimenopause is NOT to fall into the knee jerk HRT therapy, but rather to work on lowering the highs and raising the lows so that these rapid shifts of estrogen levels do not occur. Phytoestrogens such as those found in soy can help raise the lows as well as lower the lows. Progesterone cream can help to lower the highs as well. Hopefully you can start to see a nice program that can reduce or eliminate hot flushes safely and quickly.

Am J Epidemiol 2001;153:790-793 A dietary survey of Japanese women indicates that intake of soy products correlates inversely with menopausal hot flashes. Dr. Chisato Nagata and colleagues, from Gifu University School of Medicine, in Japan, report the results of a prospective study analyzing the association between soy intake and the onset of hot flashes in 1106 women between the ages of 35 and 54 years who were premenopausal at baseline. During the study period, 101 women experienced new moderate or severe hot flashes according to the Kupperman test of menopausal distress. After controlling for age, total energy intake, and menopausal status, hot flashes were significantly inversely associated with soy product consumption and isoflavone intake. Hazard ratios for hot flashes were 0.47 and 0.42 for high versus low tertiles of soy product and isoflavone intake, respectively, the team reports. “Although traditional hormone replacement therapy is effective in controlling hot flashes, compliance with this therapy is not great, and there is a desire for a more natural approach to the management of menopausal symptoms,” Dr. Nagata and colleagues say. “Our findings suggest that consumption of soy products is a practical strategy for preventing hot flashes.

Reproductive hormonal dynamics in the perimenopause – (01-10-02)

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Reproductive hormonal dynamics in the perimenopause

This is an older article but one I had to throw in just to blow apart standard thinking. So many people (and physicians included0 believe that perimenopausal symptoms are a result of lack of estrogens. The treatment? More estrogen, of course (in the form of equine estrogens foreign to the human body). Unfortunately, the reality is that perimenopause is associated with elevated estrogens. The symptoms of perimenopause are from rapid changes in estrogen levels, not elevated estrogen. Blunt the peaks with progesterone cream (downregulates estrogen receptors and makes cells less sensitive to estrogen) and fill in the troughs with phytoestrogens and most of the symptoms and signs of perimenopause disappear…

JCEM — Abstracts: Santoro et al. 81 (4): 1495

Read entire article here

Weight Gain During Menopause–The Hard Truth

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It is almost a mantra for women to complain of weight gain during menopause. But are we putting the cart before the horse? Could our view be all wrong?

Before I say anything else, let me just remind everyone of that famous saying…

“Don’t shoot the messenger”

Everyone has heard a 50-something women complain about weight gain associated with menopause.  But is this just an old wives’ tale, or does menopause truly lead to weight gain in some (if not most) women?

First, let’s drop a bombshell that rarely gets discussed.

Menopause may not be related to a woman’s ovaries and their production of estrogen (specifically E2 or estradiol).

I would say that this information has the potential to blow apart the hormone replacement industry, but the news is a little late since the Women’s Health Initiative already did this when the trial was stopped early in 2002 because the data was suggesting that HRT was killing women faster then it was saving them (Wwow!  What a unique story in mainstream medicine!).

 So if it’s not the ovaries, what is it?

The adrenal glands are two small glands located just above the kidneys and, while small, have a massive role to play in our health.  In women, they are responsible for a large chunk of her circulating hormones throughout her life, NOT just post menopausally.

This means that, in a healthy functioning woman with her adrenal glands doing what they are supposed to be doing, even in the peri and post menopausal times there can be circulating levels of some hormones near to that in her youth.

Current research suggests that the adrenal glands may be critical for a healthy menopausal transition and NOT the ovaries (although the ovaries may play a role in triggering the adrenals to pick up the slack).

So why is this a problem?  Because in today’s stressed out society, our adrenals glands are beat up.  During stress, the adrenals glands do a great job of keeping up.  However, driven to work harder over the course of decades leaves them barely able to keep up with demands.

Imagine that your adrenal glands have been overworked for 30 years because you are a stress monster and spend an extra 20 minutes every morning worried about what you are going to wear before you even begin to face the trials and tribulations of the day.  They’re wiped out.

Along comes the early stages of menopause and the trigger goes out from the ovaries for the adrenal glands to pick up the slack.  Ain’t going to happen.  And you’re left with a menopausal transition rife with problems, hot flashes, bone loss and the rapid development of prediabetes.

NOT because of menopause, but because of the 30 years of abuse you’re done prior to that.  Menopause is just when it all comes crashing down.

Luckily, if you have a provider wizened enough to recognize the problem, there are solutions for adrenal problems.  Controlling stress on the front end through exercise, yoga and meditation are important.  In addition there are natural adrenal support supplements that can work very well at helping the adrenals recover from abuse.

One thing is for sure–they do not recover on their own.  They’re going to need supplemental help.

So what does all this have to do with this particular article?

Researchers looked at weight gain and menopause through the lens of the chicken and the egg.  Does weight gain precede menopause, or does weight gain happen before menopause, potentially even triggering the transition?

As I mentioned before, I’m just the messenger.

According to this study, the weight gain preceded the change in hormone levels.

If the weight gain is from menopause, this is the easier answer.  It suggests that there is little women can do; that the process is near inevitable (except for 20 years ago–then they would’ve recommended hormone replacement therapy to keep you in a horse-urine induced youth).

As with much else, the responsibility lies within us.  The good news is that means that we can make choices to improve our health and ease the transition into the postmenopausal period.

What did you find that helped with your own experience of menopause?