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Before You Begin Information presented here is for general educational purposes only. Each one of us is biochemically and metabolically different. If you have a specific health concern and wish my personalized nutritional recommendation, write to me by clicking here.

Contents
Introduction
Effects of Menopause
Symptoms of Menopause
HRT - Gambling with Cancer
Alternatives to Conventional HRT
Primer on Sex Hormones
Natural vs. Unnatural Hormones
Hormones Used In Conventional HRT
HRT - Advantages
HRT - Disadvantages
Where is the Evidence
Natural or Unnatural
How About Progesterone
How To Use Progesterone
Testosterone for Women
Going Natural In HRT
Menopause Protocol
   1. Exercise Considerations
   2. Dietary Considerations
   3. Cruciferous Vegetables, I3C, and DIM
   4. Nutritional Supplementation
Discussion
The Big Picture

Introduction

The onset of menopause signals the ending of a woman's reproductive cycle. Menopause actually begins after the women's last period. This event marks the culmination of several years of peri-menopausal changes during which hormones secreted by the ovaries (estrogen and progesterone) gradually decline. 

Peri- and menopausal symptoms vary considerably from person to person. Asians are known to have few to no symptoms other than irregular menses. Western women, however, have much higher incidences of body changes such as hot flashes, night sweats, reduced libido, forgetfulness, heart palpitations, loss of bladder control, frequent urination, and joint pains, to name a few. For some, these symptoms are like a "living hell." 

All women go through menopause. There is no escape for anyone. What can you do to pass through this life stage in the most comfortable and protective manner? 


Effects of Menopause

Once menopause arrives, the body's internal production of estrogen and progesterone stops. Women can no longer depend on their own body to produce these two hormones to protect themselves against osteoporosis and cardiovascular disease. The result to their health can be devastating.

Symptoms of Menopause

Symptoms: night sweats, mood swings, depression, hot flashes, sagging breast, vaginal dryness, osteoporosis, fibrocystic lumps, night sweats, painful intercourse, memory problem.

This hormone imbalance is most common in menopausal women; especially if you are petite and/or slim.

Solution: Progesterone is a biochemical precursor to estrogen. Progesterone cream alone is sufficient to restore estrogen balance and relief many of the symptoms. If after 3 months of progesterone cream, proper diet, nutritional supplementation of magnesium and B6 do not relive the symptoms, then low-dose natural estrogen may be considered. 2.5 mg of natural tri-estrogen cream ( 10% estrone, 10% estradiol, and 80% estriol) provides the equivalent action of 0.625 conjugated estrogen such as Premarin. Herbs like black cohash have weak estrogenic effect and may be considered as well.

Osteoporosis is the loss of bone density, leading to fractures. Post-menopausal women low in estrogen have a 25% chance of serious bone loss and fracture. The lifetime risk of hip fracture approaches 30% for those afflicted with osteoporosis, resulting in the loss of independent living. Many will die from their injuries.

Estrogen increases pliability of blood vessels, lowers "bad" LDL-cholesterol, increases "good" HDL-cholesterol, and decreases platelet aggregation that leads to blood clots. These protective properties of estrogen result in pre-menopausal women having a lower risk of heart disease than either men, or post-menopausal women. Post-menopausal women are just as vulnerable to heart disease as men of the same age. Cardiovascular disease is the leading cause of death in women over 45 years of age. 

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