Ht Forms And Regimens
HT comes in several forms:
- Oral tablets or pills
- Vaginal ring
- Topical gel or spray
HT pills and skin patches are considered “systemic” therapy because the medication delivered affects the entire body. The risk for blood clots, heart attacks, and certain types of cancers is higher with hormone pills than with skin patches or other transdermal forms.
Vaginal forms of HT are called “local” therapy. Doctors generally prescribe vaginal applications of low-dose estrogen therapy to specifically treat menopausal symptoms such as vaginal dryness and pain during sex. This type of ET is available in a cream, tablet, or ring that is inserted into the vagina.
“Bioidentical” hormone therapy is promoted as a supposedly more natural and safer alternative to commercial prescription hormones. Bioidentical hormones are typically compounded in a pharmacy. Some compounding pharmacies claim that they can customize these formulations based on saliva tests that show a woman’s individual hormone levels.
The FDA and many professional medical associations warn patients that “bioidentical” is a marketing term that has no scientific validity. Formulations sold in these pharmacies have not undergone FDA regulatory scrutiny. Some of these compounds contain estriol, a weak form of estrogen, which has not been approved by the FDA for use in any drug. In addition, saliva tests do not give accurate or realistic results, as a woman’s hormone levels fluctuate throughout the day.
If Youre Having Thoughts Of Suicide
Talking to someone about how youre feeling can be scary. But those you trust can help support you through this time.
Try speaking to a close friend or relative who can listen to you and accompany you if you decide to see an emergency doctor.
Be as open with them as you can and tell them if youve taken any medication or have access to medication or weapons.
If the thoughts begin to ease, its still worth booking an appointment with a mental health professional such as a therapist.
This is another area in which a friend or family member can help.
There are also a number of support services to contact in times of crisis. If youre in the United States, the following hotlines are confidential and available 24/7:
Can Menopause Cause Nausea
During peri-menopause estrogen production by the ovaries can fluctuate greatly. When estrogen production is high, women may experience nausea associated with these hormonal fluctuations.
Nonetheless, in order to avoid missed diagnoses, delayed care, and poor outcomes ALL GI symptoms should be evaluated promptly and aggressively by a trained gastroenterologist. Nausea can be a sign of a much more serious problem such as certain cancers, ovarian cancer, pancreatic cancer, liver disease, inflammatory bowel disease, bowel obstruction, and other conditions.
If youre concerned about GI symptoms associated with menopause, please contact our office for a comprehensive medical evaluation.
*This information is only intended for educational purposes and the accuracy of this content is not guaranteed.
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Causes Of Bloating During Perimenopause And Menopause
Menopause symptoms can begin several years before you reach menopause. This time is known as perimenopause. Menopause is defined as the lack of a menstrual period for 12 concurrent months. This happens because your ovaries stop producing estrogen and progesterone. After menopause, you can no longer get pregnant.
Most women experience menopause in their early 50s, though you can go through it earlier or later. Once you havent experienced a period for 12 months, youre considered postmenopausal.
Bloating may occur more frequently in perimenopause than during menopause or postmenopause. During perimenopause, your hormones are changing rapidly. That can lead to higher levels of estrogen. Estrogen causes your body to retain water, which can lead to bloating.
Bloating isnt the only symptom experienced by women going through perimenopause and menopause. Fluctuating hormones can also lead to:
- hot flashes
- swallowed air
- another health condition
Its likely that bloating after menopause is related to one of these factors rather than hormones. Thats because after you go through menopause, your hormones dont fluctuate as much as they did during perimenopause and menopause.
What Are Some Of The Lesser Known Symptoms Of Menopause
Menopause comes with many minor and major changes. Some women manage to get through the process with only a little discomfort. Others may be slammed with multiple symptoms, many of which occur gradually over time so that they may not even notice that theyre happening, or that one may be linked to the other.
Most menopausal changes are caused by the decline of three hormones estrogen, progesterone, and testosterone. Progesterone and estrogen, produced by the ovaries, not only prepare a woman for reproduction during her childbearing years, but they impact the rest of her bodys health, both physically and emotionally. During menopause, the adrenal glands continue to produce testosterone, but those levels also decrease with age.
Some of the most common symptoms of menopause are:
The following menopausal symptoms are not as common, but are also usually caused by the same hormonal shifts:
Hormonal changes during menopause can contribute to several serious conditions in women, including:
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The Problem With Antacid Medications
One of the issues with these drugs is that if you take them long term, there is the possibility that they can interfere with the absorption of minerals such as magnesium and calcium. And these are both vital in the menopause.
If you’re low in calcium, that can affect your bones leading to osteoporosis. If you’re low in magnesium, that can give you symptoms such as anxiety, palpitations, and poor sleep.
So, as you can see, getting something like GERD, or even indigestion, or acid reflux can have a lot of ongoing issues with menopausal problems, too. Also, what can happen is because oestrogen is affecting the production of acid in the stomach, it could end up producing too much acid.
But it can also end up not producing enough acid. And both of these situations will end up causing the same symptoms. So, again, if you take antacids, you may then be making your symptoms even worse.
What Are The 34 Symptoms Of Menopause
The 34 symptoms of menopause is a list of common symptoms that can occur before or during menopause. They include hot flashes, irregular periods, mood changes, and more.
Menopause refers to the stage of a females life during which their period stops. It typically occurs around the age of 4555 years. A female has entered menopause if at least 12 months have passed since their last period.
The years leading up to menopause are called the menopausal transition, or perimenopause. This stage can also come with symptoms, which may last for several years sometimes up to 14 years.
This article will look at the 34 symptoms of menopause and what may help.
Menopause and perimenopause can cause a range of symptoms, including the following.
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Symptoms Of Menopause Include:
- Absence of period for 12 months
- Hot flashes
- Cognitive changes
- Vaginal dryness
- Generalized itching
- Bone loss
Once your period has officially stopped, the estrogen levels in your body will gradually decline also, you will no longer produce another female hormone called progesterone. Such hormonal changes may intensify the hot flashes, mood swings, or other symptoms you may have been experiencing throughout perimenopause, or they may trigger symptoms you have yet to experience. Another physical sign of menopause is bone loss . And although hot flashes usually subside, some women experience hot flashes for the rest of their life.
If you experience these symptoms, the first thing you should do is make an appointment with your provider. As Estrogen therapy can help with the cardiovascular issues that come with menopause, it is recommended that estrogen therapy begin within five years of the last period.
What Alternative Medical Therapies Help Ease Perimenopausal Symptoms
This product is a commonly used herbal extract that is touted as a treatment for hot flashes. Multiple studies have shown that it is ineffective. It has numerous side effects, and there have been issues with liver toxicity.
These are naturally occurring estrogens in two forms: 1) lignans, and 2) isoflavones.
Lignans are found in:
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What Medications Ease Perimenopausal Symptoms
There are a variety of medications that may ease perimenopausal symptoms in women. These include
There is no “cure” for perimenopause.
One of the most effective and infrequently mentioned methods of treating the spectrum of problems encountered during perimenopause is the combination birth control pill. These pills contain synthetic forms of estrogen and progesterone, the two primary hormones produced by a normally functioning ovary. They act by preventing the ovary from releasing its own estrogen and progesterone. They also work to inhibit ovulation, thus preventing pregnancy.
While on birth control pills, a woman’s body responds directly to the hormones in the pill, and her endogenous ovarian hormone production is suppressed. Thus, the irregular, frequently heavy, menstrual periods, which are common during perimenopause, can be eliminated. She will bleed in response to the hormones in the pills. The birth control pills also prevent ovarian cyst formation, which is common during perimenopause and is directly tied to irregular ovulation due to erratic ovarian hormone production. Birth control pills are also known to decrease breast cyst formation, and they may also decrease the frequency and intensity of headaches.
Who should not use oral contraceptives for perimenopausal symptoms?
Systemic hormonal products
Topical vaginal estrogen
How Are Diarrhea And Incontinence Related To Menopause
When progesterone levels decrease associated with menopause you may experience an increase in your bowel activity meaning food may move through your GI tract more quickly resulting in diarrhea, increased gas, and bloating.
Post-menopausal women may be more inclined to experience incontinence, diarrhea, and constipation due to pelvic floor dysfunction, and a weakened pelvic floor. Your pelvic floor, or the muscles, ligaments, connective tissues, and nerves that support the bladder, uterus, cervix, vagina, and rectum, and hold these structures in place and help them to function, plays an important role in bowel movements.
Your pelvic floor muscles stretch from your tailbone in the back to your pubic bone up front, and from one hip to the other side to side. They move up and down like a trampoline supporting your internal organs.
Normally, when you go to the bathroom your body tightens and relaxes its pelvic floor muscles in a coordinated fashion. When you have pelvic floor dysfunction, your body keeps tightening these muscles instead of relaxing them when it should.
Women are at increased risk for a weakened pelvic floor as a result of pregnancy and childbirth. Pelvic Floor Dysfunction is also more common with age. Properly diagnosing and treating pelvic floor dysfunction is crucial to managing symptoms of diarrhea, constipation and incontinence in affected patients.
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How Does Menopause Affect Constipation
There is a direct link between hormonal changes and bowel activity. Declining levels of estrogen and progesterone associated with menopause slow GI motility, meaning it takes longer for food to get through your GI tract. The longer food remains in your colon, the more water is reabsorbed back into your bloodstream, and the harder your stools get.
Additionally, during peri-menopause and menopause, lower estrogen levels decrease bile levels. Bile is produced by the liver and stored in the gallbladder. It mixes with fats and helps to dissolve and absorb them. Bile salts help to promote bowel movements by softening stool, lubricating your intestines, and speeding up how fast stool moves through your colon. Decreased bile levels associated with menopause can make stools harder and more difficult to pass resulting in constipation, gas and bloating.
Constipation related to menopause may also be exacerbated due to weakened pelvic floor muscles. Your risk for pelvic floor weakness and pelvic floor dysfunction increases with age.
Finally, hypothyroidism and diabetes are more common as we age and with menopause. These conditions can contribute to and exacerbate constipation.
Often post-menopausal women will have multiple risk factors for constipation. Addressing all of these issues thoroughly and comprehensively will help you to experience the best quality of life and alleviate your symptoms to the fullest extent possible.
Your Skin Might Get Itchy During Menopause
Many women report that their skin becomes unusually itchy around the time of menopause. This ranges from mild irritation to full on ants crawling all over my skin sensations. This is known as formication where the skin becomes increasingly sensitive due to lack of moisture. Drinking plenty of water and reducing your caffeine and alcohol intake will help. Also get plenty of vitamin C-rich foods in your diet to help create more skin-cushioning collagen. Plus, as oestrogen helps the body to handle histamine, decreased levels of this hormone means an increase in histamine which can make you itch.
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Treatment And Prevention Of Bloating
You can reduce bloating by making various lifestyle adjustments. These changes in behavior may also help you prevent bloating from occurring.
- Change your diet: Avoid foods that cause bloating. These include fatty foods, vegetables known to cause extra gas, and dairy products. Also, skip overly processed foods, which have high levels of sugar and salt.
- Exercise more frequently: Try to work out several times a week, and keep your activity varied from cardiovascular exercises to strength-building ones.
- Skip chewing gum and carbonated beverages: These can fill up your stomach with air, leaving you with a bloated abdomen.
- Avoid smoking and alcohol: These can increase bloating.
- Drink plenty of water: You may experience bloating if you dont stay hydrated enough.
There are other ways to prevent and treat bloating that involve over-the-counter and prescription medications:
Natural Remedies To Ease This Symptom
A number of menopause natural remedies exist that may help ease the severity and frequency of hives outbreaks.
Of course, if you are under a doctors care and/or taking any required medications for a chronic health condition, always talk with your doctor before altering your daily health regimen and diet program.
Skin dryness during perimenopause is linked to declines in hormone levels which can in turn give rise to hives.
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How To Bring It Up To Your Doctor
While general health advice such as exercising, getting adequate sleep, and eating a balanced diet can help perimenopausal symptoms, its also a good idea to keep a diary of how youre feeling each day.
Not only can this help you notice a pattern, but a diary can also be a great piece of evidence for a doctor or other healthcare professional.
And if youre worried about mentioning certain symptoms out loud to a doctor, having everything written down can make the process a lot easier.
During your appointment, try to be honest and open and mention every single physical and emotional change, even if youre not sure its related.
Depending on the symptoms, they can rule out other conditions, such as thyroid problems or an overactive bladder.
They can then offer treatments such as HRT in an attempt to rebalance your hormone levels and refer you to specialists in menopause or mental health if needed.
Menopause Doesnt Have To Be Difficult
Hot flashes, weight gain, bloating, fatigue and joint pain
Now, add all these 5 symptoms together and most ladies simply lose their will to do anything because of the sheer discomfort.
But we are happy to say we have effectively created supplements to manage all of it – and over 51,537 ladies worldwide are gliding through menopause thanks to them.
Hot Flashes During Perimenopause
Most women don’t expect to have hot flashes until , so it can be a big surprise when they show up earlier, during perimenopause. Hot flashes sometimes called hot flushes and given the scientific name of vasomotor symptoms are the most commonly reported symptom of perimenopause. They’re also a regular feature of sudden menopause due to surgery or treatment with certain medications, such as chemotherapy drugs.
Hot flashes tend to come on rapidly and can last from one to five minutes. They range in severity from a fleeting sense of warmth to a feeling of being consumed by fire “from the inside out.” A major hot flash can induce facial and upper-body flushing, sweating, chills, and sometimes confusion. Having one of these at an inconvenient time can be quite disconcerting. Hot flash frequency varies widely. Some women have a few over the course of a week others may experience 10 or more in the daytime, plus some at night.
Most American women have hot flashes around the time of menopause, but studies of other cultures suggest this experience is not universal. Far fewer Japanese, Korean, and Southeast Asian women report having hot flashes. In Mexico’s Yucatan peninsula, women appear not to have any at all. These differences may reflect cultural variations in perceptions, semantics, and lifestyle factors, such as diet.
Limit Your Stress Level Which Causes Stomach Acids To Pump
Consider eating probiotics and lemon balm, which can help soothe your stomach.
Avoiding the weight gain that seems to come at middle age also can prove effective in staving off GERD. In another More article entitled, “Midlife Weight Gain: What’s Healthy, What’s Not?”, Joan Raymond reported that obese women are more prone to have GERD, although scientists have linked this condition to just being overweight. “A study of more than 10,000 women reported in The New England Journal of Medicine found that relatively small weight gains increased the risk: Among women with a baseline BMI of 25 or less, GERD in-creased 1.13 times if their BMI increased by just 0.5 to 1.5 units,” the More article reported. “For women who increased their BMI by 3.5 units, say from 24 to 27.5, their likelihood of having more frequent GERD symptoms grew nearly three times.”
Menter also noted that acid reflux can be a sign that it’s time to reevaluate one’s life. “I realized I’d been approaching my reflux problem from the wrong direction,” she wrote. “I’d viewed it as a medical condition requiring a pharmaceutical solution, when actually it’s a clear, brilliant stress barometer, a sign that your body wants you to slow down and simplify, or maybe just pay attention.”
GERD is definitely uncomfortable. By making some key lifestyle changes in diet, lifestyle, and approach to life, women who are in perimenopause or menopause can declaw the impact of acid reflux.