MediaPlanet published a special Women’s Health publication that ran in the May 16, 2012 edition of the Washington Post. Dr. Stanton was included as one of the expert contributors. She offered tips for finding the right doctor and served as one of the panelists discussing the hormonal changes that occur during menopause.

Check out the Women’s Health publication.

May is Osteoporosis Awareness and Prevention Month. This is a very important health issue for women and men. Osteoporosis is related to the loss of bone mass that occurs as part of the natural process of aging. It can be accelerated when hormones are out of balance.  Although osteoporosis can occur in men, it is most common in women who have gone through menopause.

There are three factors essential for keeping your bones healthy throughout your life: adequate amounts of calcium, adequate amounts of vitamin D and regular, weight bearing exercise. Calcium and vitamin D are especially important after menopause.

Foods high in calcium include almonds, dark green leafy vegetables (collard greens and kale), beans (navy, kidney and pinto), tofu, tahini and calcium-fortified cereals. Vitamin D is necessary for the body to absorb calcium. Sunlight is a good source of Vitamin D, but it poses other risks. I recommend taking 1,000-2,000 IU from a supplement.

Physical activity also plays a major role in prevention. Regular strength training and aerobic exercise can improve muscle mass, balance and bone strength. Strength training including the use of free weights, weight machines, resistance bands or even gravity exercises can directly affect your bones to slow mineral loss. Aerobic exercise like dancing and low-impact aerobics, work directly on the bones in your legs, hips and lower spine. Swimming and bicycling are good for your muscles and cardiovascular system. Mix it up to reap the benefits of different types of exercise and to prevent boredom from occurring. Oh, and don’t forget to stretch before and after exercising. It helps increase flexibility, which helps with balance and posture.

We talk a lot about the best ways to maintain balanced hormones – eat appropriately, get enough sleep, exercise, eliminate toxins and reduce your stress levels – but what happens around age 40 when our hormones start to naturally decline?

In the years leading up to menopause, known as perimenopause, women start having hormone fluctuations starting with lower progesterone. Add in some stress and your progesterone lowers even more because your body will use it to help make more cortisol. Once menopause hits, your estrogen will begin to fall significantly, and you might notice an increase of fat around your belly. This happens because some of estrogen’s functions are to increase metabolism and insulin sensitivity. As perimenopause and menopause progress, symptoms might increase including hot flashes, weight gain, difficulty sleeping and a host of other problems. Some women can relieve these symptoms with lifestyle changes, supplements and herbs, while other women might choose to replace missing hormones with replacement therapy.

Men can’t escape weight gain due to hormone imbalances either. As men age, testosterone – a hormone with many functions to help maintain weight – starts to decline. And due to lifestyle habits, many men under the age of 40 have low testosterone levels for their age. Low testosterone leads to increase fat mass and weight gain, which then sets off a chain reaction that often leads to fatigue, depression, inflammation, and further weight gain.

We’ve talked a lot about how stress can lead to hormone imbalances and weight gain, but another side effect to stress concerns the thyroid. The thyroid is in charge of metabolism. If your cortisol is high due to stress it tells your body to conserve energy, therefore your thyroid secretes less active hormone and reduce your metabolism, leading to weight gain.

If you’re still having trouble overcoming symptoms of hormone imbalance even after making lifestyle changes, you may want to consider hormone replacement therapy. However, it’s very important to find a physician that specializes in hormone testing and is dedicated to treating the underlying cause of your symptoms and not just your symptoms. A physician who understands bioidentical hormones is also important because they have the correct shape to fit into all the receptors on the cells in your body.

Delicious Living Magazine, October 2011

http://newhope360.com/women/natural-hormone-balance-any-age

Delicious Living
Laurie Budgar

As women age, hormones have many opportunities shift out of balance. This guide offers an explanation for what affects hormones and how to regain balance during pregnancy, perimenopause, and menopause.

It’s not just puberty and menopause: Women experience hormonal changes throughout their lives. New research shows the onset of menopausal symptoms is often linked to the modern Western lifestyle, including nutrient-poor diets of refined foods, alcohol consumption, smoking, chronic stress, depression, lack of exercise, and exposure to endocrine-disrupting toxins found in common household products.

The good news about symptoms is that “women get a wake-up call,” says Marcelle Pick, RNC, MSN, a Yarmouth, Maine–based ob-gyn nurse practitioner. “When the body is out of balance, it really screams at them. Men have heart attacks. Women have an opportunity to get really healthy.” Making smart lifestyle changes—especially before peak transition times—can help smooth out symptoms, says Alicia Stanton, MD, an Enfield, Connecticut–based integrative physician and coauthor of Hormone Harmony (Healthy Life, 2009)

Pregnancy Years

“Hormones tend to be more stable when women are in their 20s and 30s, unless they have a boatload of stress,” says Pick, who cofounded Women to Women, an integrative clinic that serves women both online and in person. Ordinarily, estrogen is high in the first half of your cycle; in the second half, estrogen comes down and progesterone goes up. Then they both plunge right before your period.

But many women—Stanton estimates as many as 80 percent—have a condition known as estrogen dominance, an imbalance believed to be triggered partly by excess body fat, poor diet, stress, and exposure to estrogenic factors in the environment, such as those leached from most plastics. “Either there’s too much estrogen in the system or not enough progesterone to balance the estrogen,” says Jennifer Johnson, ND, clinical faculty member at the University of Bridgeport College of Naturopathic Medicine.

POTENTIAL PROBLEMS

PMS. Johnson says symptoms during the pre-period hormone drop may be worse for women with estrogen dominance. Common symptoms include headaches, breast tenderness, irritability, depression, bloating, and cravings.

Infertility. If you’ve ruled out structural problems (such as blocked fallopian tubes)—as well as issues with your male partner—and still can’t get pregnant, you may have low progesterone levels in the second half of your cycle.

Cysts or fibroids. “Estrogen is the proliferative hormone,” explains Erin Lommen, ND, a practitioner based in Clackamas, Oregon, and author of Slim, Sane, and Sexy (Fountain of Youth, 2009). That means it helps grow the uterine lining to prepare for pregnancy, but it also grows cysts, fibroids, and cancers. “Progesterone is the antiestrogen, or the balancer.”

HORMONE HELP

Try a natural progesterone cream. You can pick this up without a prescription, but first be sure your progesterone levels really are low. Your doctor can do a saliva or urine test to find out. Look for a low-dose (2 percent) topical cream and check the ingredient list for USP progesterone rather than wild yam, which the body cannot metabolize into progesterone. Apply about ¼ teaspoon (providing 20 mg of progesterone) to the neck, face, chest, or inner arms; rotate the application site daily. Bio-identical progesterone is safe for women when used as directed, says Pick, but a health care provider should monitor any woman using hormones. Women with breast cancer or a history of breast cancer should not use progesterone cream.

Try supplements. Clamp down on crankiness with a B-complex that has at least 50 mg of B6. Take 500 mg per day of krill oil, or 2,000–3,000 mg of high-quality fish oil each day, with meals, to reduce inflammation and cortisol demand. Johnson also suggests evening primrose oil, 1,200–1,500 mg per day with meals, to ease cramps and help with other estrogen-dominance symptoms. Dandelion (both root and leaf)—100–200 mg, or 1/2 teaspoon of tincture, or two or three cups of tea daily—minimizes bloating and helps the liver eliminate excess hormones; it may not be safe for people on diuretics, Johnson cautions. For fertility issues, try vitex, or chasteberry, 300–400 mg daily unless you are already taking prescribed fertility hormones or are undergoing in vitro fertilization, she says.

Avoid environmental and dietary estrogen sources. These include many plastic water bottles; canned foods with BPA in the lining; personal care products with potentially hormone-disrupting chemicals, such as parabens, phthalates, triclosan, and many fragrances; and nonorganic

Perimenopause

WHAT YOUR HORMONES ARE DOING

About ten years before menopause, your egg quality declines and your hormones begin to shift—estrogen diminishes a little, and progesterone plummets. “Everyone thinks perimenopause is due to low estrogen, but it’s low progesterone very early on,” says Stanton. “It’s not until the end that you get to the low estrogen.”

POTENTIAL PROBLEMS

Brain fog. Researchers suspect lower estrogen may be partly to blame for the trouble some perimenopausal women report with memory and decision-making, but the stress of busy daily lives makes it worse, Pick says. Chronic stress can lead to adrenal fatigue, a collection of symptoms remarkably similar to perimenopause: insomnia, headaches, fatigue, anxiety, inability to concentrate, and depression. Research also suggests chronically elevated cortisol levels may decrease memory performance.

Weight gain. Yep, stress can make you fat. Cortisol releases sugar into the bloodstream to provide fuel during stressful times, and insulin mops up the excess. With too much sugar to process, the body becomes insulin resistant, and converts the excess to belly fat, or visceral fat, which is linked to greater risk for heart disease and other serious health problems. “Visceral fat is harder to lose,” Lommen says. And for many people, turning to refined-carb “comfort foods” when stressed worsens the cycle.

Sleep problems and hot flashes. Perimenopausal women may have trouble falling or staying asleep, possibly due to low progesterone, high cortisol demands, or a disturbance in melatonin, the hormone that helps regulate sleep-wake cycles. Erratic estrogen levels cause hot flashes, says Pick.

HORMONE HELP

Eat right, sleep, and meditate. This will keep cortisol and insulin levels stable, and your weight down. Choose low-glycemic foods like lean proteins and complex carbs, which break down more slowly in the body. Sleep seven hours a night to stabilize cortisol levels and balance appetite hormones leptin and ghrelin. A new study published in Menopause found that women who participated in a mindfulness-based stress-reduction program, which included meditating and mindful stretching, had fewer, less-intense hot flashes, better sleep quality, and less anxiety and perceived stress.

Consider bio-identical hormones. They’re the exact same structure as the hormones you make,” unlike the hormones used in the now-infamous Women’s Health Initiative study, Stanton says. (See “Is Hormone Replacement Safe?,” TKwhere.) Nevertheless, the decision to use bio-identicals remains controversial. “They haven’t been studied to the same degree that synthetic hormones have,” Johnson says. “But I see women having fewer problems adjusting to being on them, and fewer side effects than with synthetic hormones.” Women who have a personal or family history of breast cancer, blood clots, stroke, or heart disease should discuss risks with their physicians. Finally, if you know for certain your progesterone levels are low, a natural progesterone cream also may improve symptoms.

Menopause

WHAT YOUR HORMONES ARE DOING

Menopause occurs when you haven’t had your period for a year. At this point, you really start to lose estrogen. “Estrogen is anti-inflammatory, so when it begins to decline, some people have huge problems with joints. Others have hot flashes; some can’t sleep; some are very anxious,” Pick says. Research shows that estrogen may also protect the heart, brain, bones, and more.

POTENTIAL PROBLEMS

Bone loss. Lower levels of estrogen, progesterone, and testosterone contribute to a more rapid loss in bone mass, Stanton says.

Risk for heart disease, Alzheimer’s, and certain cancers. “Hormones are the messengers in our body,” Stanton says. “They send messages between the brain, glands, and organs, and regulate inflammation. Every imbalance in hormones creates an imbalance in the body.”

HOW TO FEEL YOUR BEST

Take vitamin D. Take 2,000 IU daily for bone health, along with calcium (1,200–1,500 mg total daily from diet and supplements), and 400–600 mg magnesium; take all with food. For best absorption, split calcium into 500-mg doses, taking the last dose in the evening with magnesium, reducing the magnesium dose if loose stools result. “Vitamin D is very anti-inflammatory,” says Stanton. Ideally, get your D levels tested in spring and fall, and aim for a result between 30 and 50, Pick says.

Keep active. Do weight-bearing exercise, like standing on one leg—really. It puts pressure on hips, which lose bone mass easily, Johnson says. In one study of postmenopausal women, physical exercise also reduced menopausal symptoms and significantly enhanced quality of life, independent of whether participants were taking hormone therapy.

And what about the years after menopause? “We keep making hormones, we just aren’t cycling them [monthly for possible pregnancy],” Stanton says. “So the women who have sailed through menopause have stable, low levels of hormones,” though a major stressor can trigger an imbalance. To avoid a return to imbalance, Pick says, “continue to have joy in life, and keep taking steps toward vitality.”

September is National Menopause Awareness Month, so my blog posts this month will provide tips for navigating menopause and how to make this transition an easier one. But, first how do you know if what you’re going through is menopause? Here are 10 signs that you might be going through menopause:

1. Weight Gain
2. Irritable
3. Mood Swings
4. Fatigue
5. Trouble Sleeping
6. Loss of Sex Drive
7. Vaginal Dryness
8. Hot Flashes and/or Night Sweats
9. Foggy Memory
10. Depression

Check back often for some tips and remedies addressing these symptoms so you can enjoy a better quality of life and put an end to the suffering.