Review Of Indian Literature On Postmenopausal Syndrome
The average age of menopause in India is 47.5 years, with an average life expectancy of 71 years. Therefore, Indian women are likely to spend almost 23.5 years in menopause .
About 3540% women between 40 and 65 years have been diagnosed to suffer from osteopenia and 830% suffer from osteoporosis. All women over 65 years have been found to suffer from osteopenia or osteoporosis .
A study which analyzed a sample consisting of menopausal, premenopausal and postmenopausal women in the age range of 3550 years using a two-stage screening procedure for identifying and screening psychiatric morbidity General Health Questionnaire and Standard Psychiatric Interview, found highest psychiatric co-morbidity in the menopausal group, in terms of age maximum number of cases with psychiatric co-morbidity were from 41 to 45 years. Menopausal women suffered more symptoms of menopause as well as psychiatric symptoms as compared to premenopausal women. Both set of symptoms was found to be less in the postmenopause group also. The most common reported symptoms in the group were depression, depressive thoughts, anxiety, and excessive concern about bodily functions. Supporting the findings of the earlier study the predominant symptom in menopausal women was depression.
Low Estrogen Level: Symptoms And Causes
As previously mentioned, menopause commonly causes decreased levels of estrogen in females. However, women of all ages can experience low estrogen levels from a variety of causes, including hysterectomies , radiation treatments, and severe cases of anorexia.
A common and well-known consequence of low estrogen levels is the increased fragility of bones seen in post-menopausal women, leading to osteoporosis. Estrogen is known to work in conjunction with calcium, vitamin D, and other minerals to keep bones strong, and without it, bones become brittle and tend to fracture more easily.
Other symptoms of low estrogen include:
- Painful sex due to the lack of vaginal lubrication
What Are The Risks Of Taking Hormone Therapy
While hormone therapy helps many women get through menopause, the treatment is not risk-free. Known health risks include:
- An increased risk of endometrial cancer .
- Increased risk of blood clots and stroke.
- Increased chance of gallbladder/gallstone problems.
- Increased risk of dementia if hormone therapy is started after midlife. HT started during midlife is associated with a reduced risk of Alzheimers disease and dementia.
- Increased risk of breast cancer with long-term use.
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Looking Beyond Our Diets To Balance Our Hormones
Our healthy lifestyle decisions dont need to end with food. Walking, gentle yoga and meditation are great stress reducers. Even getting out into the sun and listening to the birds singing can help your body in amazing ways. Dont forget that our stress hormones play a major role in making us unhappy after 60. They also prevent us from losing weight, which, in turn, stops us from exploring the world.
Finally, Julie reminds us to take the time to pamper ourselves. Take a hot lavender bath. Relax with some candles and appreciate some me time. Be kind to your body and it will pay you back with many years of healthy life on this amazing planet we call home.
What natural solutions have calmed your postmenopausal hormones? Have you found any specific foods that helped? What advice would you give to the other women in the community who are struggling with their postmenopausal hormones? Please join the conversation.
Let’s Have a Conversation!
Balancing Progesterone And Estrogen During Menopause
Menopause indicates the transition of a woman’s body from being fertile to becoming infertile. Ovulation stops, and the menstrual cycle terminates. The changing levels of the hormones estrogen and progesterone are the main instigators of these bodily changes.
In the stage leading up to menopause, the levels of progesterone and estrogen in the body fluctuate. At this time, it is likely that the body will experience a degree of hormonal imbalance. This hormonal imbalance can have unpleasant physical and emotional symptoms, including vaginal dryness, breast tenderness, headaches, fatigue, and mood swings.
However, there are a number of possible treatments for imbalances in estrogen and progesterone during menopause. These include lifestyle changes, alternative medicines, and hormone replacement therapy . Read on to learn more about how to balance your levels of progesterone and estrogen during menopause.
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Hormone Therapy Phytoestrogens And Antidepressants
If the above interventions do not provide relief, talk to your doctor about treatment with phytoestrogens, hormone replacement therapy and/or antidepressant therapy. HRT with estrogen will help to raise serotonin which will likely improve mood, sleep, appetite, and sex drive according to Dr. Gottfried. Estrogen therapy will help with the emotional and physical depressive and/or anxiety problems you may be experiencing. The drawback is that hormone replacement therapy comes with side effects, and this is the reason doctors are likely to pushback against it, if they even provide it at all. If you have a history of fibroids or blood clots in the leg or lungs, if you have undiagnosed vaginal bleeding, active gall bladder disease, or liver disease you should not consider HRT. Taking estrogen can worsen symptoms in some cases. However, despite the possible risks, many women find relief using HRT. Estradiol patches are FDA approved and considered safe when used appropriately. Estrogen needs to be used in combination with progesterone to protect from breast cancer and other risks of unopposed estrogen.
Here are some of the potential risks associated with longterm use of HRT based on Womens Health Initiative studies:
A few interesting trends that the researchers also found:
Women who used HRT for less than 2 years reported higher satisfaction with its efficacy than women who used it for over 2 years
How Do Phytoestrogens Affect Your Health
Phytoestrogens have a similar chemical structure to that of estrogen and may mimic its hormonal actions.
Phytoestrogens attach to estrogen receptors in your cells, potentially affecting the function of estrogen throughout your body .
However, not all phytoestrogens function in the same way.
Phytoestrogens have been shown to have both estrogenic and antiestrogenic effects. This means that, while some phytoestrogens have estrogen-like effects and increase estrogen levels in your body, others block its effects and decrease estrogen levels .
Because of their complex actions, phytoestrogens are one of the most controversial topics in nutrition and health.
While some researchers have raised concerns that a high intake of phytoestrogens may cause hormonal imbalance, most evidence has linked them to positive health effects.
In fact, multiple studies have associated phytoestrogen intake with decreased cholesterol levels, improved menopausal symptoms, and a lower risk of osteoporosis and certain types of cancer, including breast cancer (
Soy isoflavones can produce estrogen-like activity in the body by mimicking the effects of natural estrogen. They may increase or decrease blood estrogen levels .
One study found that women who took a soy protein supplement for 12 weeks experienced moderate decreases in blood estrogen levels compared with a control group.
The researchers proposed that these effects might help protect against certain types of breast cancer .
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Weighing The Hormone Replacement Therapy Pros And Cons
When it comes to getting HRT after surgical menopause, deciding what to do isn’t easy. The contradictory headlines in the media in recent years haven’t helped. It’s easy for women to feel like they are making the wrong choice, no matter what they do.
When you’re deciding, you have to consider a lot of different factors, including your age, your family history, and your habits. Just take it slowly and don’t allow yourself to be rushed into a decision you’re not ready to make. Check the latest research into HRT. Remember that both the potential long-term benefits and risks of hormone therapy are really quite small for any individual person.
Finally, don’t discount your gut feelings. The decision to get hormone therapy after surgical menopause is personal. The right answer depends as much on your preferences as it does on the facts in your medical chart.
Extreme Menopause And Andropause Symptoms
When we talk about hormone deficiencies as we age, most of us will instantly think of menopause. For hundreds of thousands of women around the world, extreme perimenopause, menopause, and postmenopause symptoms can cause a lot of discomfort in their everyday lives.
Negative symptoms such as hot flashes, mood swings, and even a lower metabolism are commonly caused by the gradual changes in estrogen and progesterone levels before, during, and after menopause. This is where hormone therapy can help. By restoring the bodys hormones to optimal levels, many of the negative side effects from menopause can be eliminated.
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Menopause And Mental Health
Wherever you are in life, having an understanding of the state of your body, what your normal is, and the changes to come is incredibly important. Women are particularly sensitive to hormonal shifts, and the post menopausal years bring falling levels of estrogen and emotional and physical changes.
Many women come to major hormonal milestones of menopause, with relatively little preparation or understanding of the hormonal shift that are about to take place. While we may know about the falling estrogen levels, cessation of the monthly period, possible weight gain, and hot flashes, most of us are not aware of the various emotional changes that go along with the hormone changes. Did you know that women in post menopausal years are at an increased risk for depression and anxiety? Your ovaries produce less estrogen which in turn affects the levels of serotonin in your brain. And estrogens role in serotonin production is just one of the many important roles it plays in womens mental health.
Stress Menopause & Fat Gain
Keeping your stress levels under control is going to be one of the hidden parts of weight loss and losing your belly fat. When stressed your body releases the hormone cortisol that can cause an increase in belly fat .
Womens ovaries decrease their production of estrogen in the menopausal transition. Then your adrenal glands pick up some of the slack by producing estrogen. But your adrenal glands also produce cortisol.
But if youve lived a stressful life and are still living one in menopause then this could affect your adrenals ability to make these hormones. If youre stressed out then your body will focus on making more cortisol instead of estrogen. This will lead to developing a stress belly.
Youll also feel more fatigued, suffer from insomnia, and get cravings. All of which will make it harder for weight loss and to get rid of your visceral fat. Physical activity is a lot harder to do when stressed. Finding ways to de-stress in life will be a smart strategy for lowering your cortisol levels. To lose weight its important to lower your stress levels.
Meditation, exercise, eating healthy, deep breathing and proper sleep are all great ways to lower your stress. Taking a high-quality CBD oil can also lower your stress levels. Studies have found it to lower anxiety and improve sleep as well . With menopausal symptoms like hot flashes and night sweats itll do a lot for helping you sleep and de-stress.
Does menopause weight gain go away?
The Last Word
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Putting The Risks And Benefits Of Hrt In Perspective
If you’re just glancing at list above, some of the risks of HRT might seem to overwhelm the benefits. Could a reduction in vaginal dryness possibly be worth an increased risk of cancer?
But look at the details. The risks of HRT — while real — are quite small for an individual person. For example, the 2002 Women’s Health Initiative study found that ERT increased the risk of strokes by 39%. That sounds frighteningly high. But the actual number of people affected is very small. Out of 10,000 women who are not taking ERT, 32 have strokes each year. Out of 10,000 who are taking ERT, 44 have strokes each year. That’s an increase of just 12 people out of 10,000.
On the other hand, when it comes to controlling the symptoms of surgical menopause, a huge number of women feel the benefits. One out of four menopausal women has severe hot flashes. Treatment with hormone therapy cuts down the number of hot flashes per week by 75%. So if a woman had 24 hot flashes per week, HRT would drop that number to six. That could make a big difference in the quality of their day-to-day life.
How Do You Know You’re In Postmenopause
Your healthcare provider will be able to tell you if you’re in postmenopause based on your symptoms and how long it’s been since your last menstrual period. In some cases, your healthcare provider will take a blood sample and check your hormone levels to confirm you’ve gone through menopause. Remember, you’re not considered to be through menopause until it’s been over one year since youve had a period.
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Benefits Of Taking Estrogen After Menopause
- Post author Scientific review: Dr Hebenâs Team
In this article, I will explain the benefits of taking estrogen after menopause. Menopause happens in middle-aged women . Menopause is a condition where menstrual cycle stops, or the end of reproductive period. This is a natural condition, and all women will experience this. But the menopause symptoms give anxiety in women, since the stopping of menstrual cycle means the stopping of reproductive hormone production, such as estrogen and progesteron.
Estrogen is a steroid hormone, produced by theca follicle cells in ovaries. Estrogen functions are: promotes secondary sexual signs in women, promotes proliferation of endometrium cells, influences electrolytes balance, and improves protein anabolism with growth hormones, as in growth of reproductive organs such as the womb and vagina.
When a woman reach pre-menopause period, her estrogen production is much decreased. The symptoms are:
- irregular menstruation
- reduced bone density, which will lead to osteoporosis and bone fractures
- increased risk of atherosclerosis and cardiovascular disease
1. Prevents Dryness in Vagina
Vaginal dryness is caused by lack of estrogen. This makes difficulties and pain during sexual intercourse, which can lead to physical and psychological trauma . Taking estrogen after menopause can maintain vaginal lubrication and elasticity.
2. Increases Libido
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Weight Gain And Cellulite
If youre low on progesterone, your body wont burn fat stores for energy. In addition, you lose progesterones anti-catabolic benefits, which help to protect your muscle tissue, particularly when youve had a rough week.
Your body will not burn fat. Instead, you will pull glucose into your bloodstream, which often means your body starts breaking down your muscle tissue to provide this quick source of energy. This can, in turn, lead to the production of cellulite.
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Staying Healthy After Menopause
These tips will help you live a healthy life after menopause. Talk to your healthcare provider for more information:
If you are thinking about hormone replacement therapy, discuss the risks and benefits with your healthcare provider first.
Don’t smoke. Smoking is a major risk factor for heart disease.
Exercise regularly. Even moderate exercise, such as walking a half-hour, 3 times a week is beneficial.
Maintain a healthy weight through a balanced, low-sugar diet.
Control high blood pressure with medicine or lifestyle changes. This will help cut your risk for heart disease.
Reduce stress in your life through relaxation methods or regular exercise.
S To Balance Hormones Naturally
Hormones such as estrogen, testosterone, adrenaline and insulin are extremely important chemical messengers that affect many aspects of your overall health.
Conventional treatments for hormonal imbalances typically include synthetic hormone replacement therapies, birth control pills, insulin injections, thyroid medications and more. Unfortunately, for the majority of people suffering from hormonal disorders, relying on these types of synthetic treatments often does three things:
Is it possible to balance hormones naturally? The good news is: yes, in many cases it is. Below youll learn about some root causes of hormonal problems, as well as about treatment options to help you balance your hormones naturally.
Evidence Of Risks And Benefits
Many women reconsidered taking HRT due to recent studies on the long-term use of HRT. The Heart and Estrogen-Progestin Replacement Study found in the first year of HRT there was a 50% increase in heart attack and stroke. But, after two years of HRT, they had a decrease in these diseases.
The Womens Health Initiative performed a larger study. Its the largest study that examined the effects and risks of HRT in menopausal women.
In 2002, the WHI stopped giving women both estrogen and progestin therapy. Data from this group found an increased risk of heart disease, breast cancer, stroke and blood clots in the lungs and legs.
In 2004, they ended the group taking only estrogen because results indicated an increased risk of blood clots, stroke, and heart attack.
Due to these studies, they created new guidelines for prescribing HRT. These include:
- Stopping the use of HRT as a prevention of heart attack or stroke.
- Weigh the pros and cons of using HRT for prevention of osteoporosis
- Women with pre-existing heart disease should think about other options.
- Use in only the short-term for menopausal symptoms.
- Discourage long-term use
What Is Perimenopause
Perimenopause has been variously defined, but experts generally agree that it begins with irregular menstrual cycles courtesy of declining ovarian function and ends a year after the last menstrual period.
Perimenopause varies greatly from one woman to the next. The average duration is three to four years, although it can last just a few months or extend as long as a decade. Some women feel buffeted by hot flashes and wiped out by heavy periods many have no bothersome symptoms. Periods may end more or less abruptly for some, while others may menstruate erratically for years. Fortunately, as knowledge about reproductive aging has grown, so have the options for treating some of its more distressing features.
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