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Menopause, hot flashes, HRT/Soy, and all that fun stuff!

special K
12-28-2006, 06:43 PM
As an addition to Tracy's thread on HRT below... I know that in my early 40's I always wondered what menopause actually involved, and specifics to alleviate the negatives of the experience. Maybe this will be helpful to others...

I was reading this magazine in my doctor's office and thought I'd share the most recent info on menopause stuff from the articles included. The magaizine is : "The American College of Obstetricians and Gynocologists' Complete Guide to MIDLIFE HEALTH" Pause ... Winter issue 2006

What is Menopause? : it is the stage in life where menstruation stops, and levels of naturally manufactured estrogen drop dramatically in women. Average age of menopause onset= 51. For most women, menopause isn't a single event that occurs all of a sudden. Rather it's a gradual transition that takes place over several years' time in 3 dinstinctive stages:

perimenopause...the first phase, begins 2-8 years before menopause.
periods become irregular as the number of eggs in your ovaries, and
the estrogen they produce - declines. Many experience several
of the symptoms of menopause (hot flashes,insomnia, night sweats, mood swings, achy-ness), and most just have a sense that
something "just isn't right".

menopause...the actual onset where your ovaries produce so little estrogen that your periods cease. Symptoms usually last for a year or two after
periods end completely.

postmenopause... when you have had no periods for a year or
longer


Hormone Replacement Therapy (HRT)... Hormone Therapy dramatically reduces the symptoms of menopause, and it absolutely protects from bone loss. A 2006 analysis of the data from HRT studies showed that younger women (45-59) who begin HRT in perimenopause don't appear to have increased cardiovascular risks and may even have a measure of protection against them. Some reshearchers say the new evidence suggests that when HRT is taken at an earlier stage (perimenopausal-menopausal) it may help protect against heart disease..

There was a very slight increase in the occurrence of breast cancer in the test subjects taking Estrogen-progestin combination HRT (38 women out of 10,000 as opposed to 30 out of 10,000 on placebo) in older women who were already postmenopausal in the study. Women taking estrogen-only experienced no elevated breast cancer risk.

Hot Flashes: "is it hot in here, or is it just me?"
"For the majority of women, hot flashes dissipate on their own within an average of 3-4 years of their onset...if you have hot flashes, night sweats, sleep disruptions or other symptoms, HRT and ET are still the most effective therapies available, reducing hot flashes by up to 90%...nothing works better. If you are perimenopausal (still menstruating) and are experiencing mood swings, insomnia, hot flashes, you may find relief with low dose oral contraceptives provided you don't smoke.

Soy-based and other herbal remedies are available for the treatment of menopausal symptoms, but there is a shortage of scientific proof that any of them do much good.

Bio-identical hormones..are chemically similar hormones to the ones your
body makes, and are commonly referred to as "natural" hormones. They are made by specialized pharmacies from a physician's prescription. Although claimed to be safer and just as effective, there is no scientific evidence to support the claims. In fact, these drugs have not undergone rigouous scientific scrutiny for safety or effectiveness and are viewed as experimental drugs not covered by most insurance companies. Because of the lack of scientific research on bio-identicals, you should assume they have the same risks as hormones approved by the FDA and possible additional risks related to compounding.

The Good News :) ...if you have enjoyed sex in the past, you will continue to through menopause and beyond! There is no physiological reason a woman can't have a great sex life in midlife and beyond. Without the fear of getting pregnant, many women express that their sex life has become even more enjoyable. Low estrogen levels can contribute to minor vaginal dryness...but this can be easily remedied with lubricants or a vaginal ring. Ironically, the best preventive measure is to stay sexually active which increases the blood flow to the tissues to nurish and sustain them! "

Faith47
01-04-2007, 09:45 AM
Thanks Special K for this thread. I am in my pre-menopause and one thing you say, you feel something 'just aint right'.

I have become very withdrawn, often sad and negative toughts (more than normal), I also suffer from anxiety which I have read can be trigger by the hormonal changes, tired easily, lack of energy. Soooooooo much fun! :(
I have tought of using hormones but it does scare me a bit.
But gosh, I'm sick and tired of feeling the way I do.

Aint it great to be a woman sometimes?!
:rolleyes:

Faith47

yellowrose
01-04-2007, 05:21 PM
I thought I was going nuts sometimes, in my EARLY 40's. No energy, some depression, hot flashes, lower sex drive were just some of the symptoms that I went through.

Skinny women have it worse usually. ;)

Women who have more fat on their bones have extra estrogen stored in these fat cells. When one exercises, the estrogen is released and symptoms are lessen.

Not only does the body start to produce less Estrogen, but it also sometimes reduces the testosterone in the female body. Many gyn's forget this. By taking a testosterone supplement, the sex drive is better and I had more energy. It is only a very low dose that is needed.

One should try to go without the hormone supplements (patches) as one gets closer to menopause. That way the body will have OTHER PARTS of the body MANUFACTURE ESTROGEN eventually! If you take supplements after 4 or 5 years and never take a break from them, the body will not adjust itself.

Anyway, these are few things that I have learned. It sure did get better after I started taking Estraderm a patch. My 50's have been wonderful as far as menopause goes. Good luck to you ladies that are starting your own adventure. :D

Science Goddess
01-04-2007, 08:14 PM
Thanks Special K for this thread. I am in my pre-menopause and one thing you say, you feel something 'just aint right'.

I have become very withdrawn, often sad and negative toughts (more than normal), I also suffer from anxiety which I have read can be trigger by the hormonal changes, tired easily, lack of energy. Soooooooo much fun! :(
I have tought of using hormones but it does scare me a bit.
But gosh, I'm sick and tired of feeling the way I do.

Aint it great to be a woman sometimes?!
:rolleyes:

Faith47


Some friends of mine swear by Estroven from the health food store. HRT made one of my friends totally whacked, and she felt tons better when she went off of it and started taking Estroven.

I've been reading up on this because I'm not so sure that I'm not already going into peri-menopause. I have a doctor's appt. next week to have my annual and talk to my doctor about whether I could possibly already be there. There seems to be lots you can do via the health food store, an herbalist and diet.

I can't wait to go off the pill. I'm not going to replace it with HRT.

special K
01-05-2007, 01:46 AM
I'm on the pill, AS my HRT. The double duty of being contraception plus HRT is perfect for me. Anyone else on Yasmin?.....supper low dose pill, kills two birds with one stone. Easy, and I feel great. Been on it for 4 years now (post divorce and perimenopausal).

Barb, thanks for the testosterone info, I'll ask my doctor about that at my annual next week.:)

UnKnowN LeGenD
01-05-2007, 01:48 PM
Hi Karen
Thanks for sharing all that info. I am currently 46 and had been having very heavy menstrual bleeding (almost seemed like hemmoraghing). I also started having the night sweats...especially right before my period. My breast also felt very tender not only before my period but right around the time I would normally ovulate. My doctor decided to put my on Progestin....However, after doing some research, I had my reservations about taking it due to the possible adverse affects. I always think going natural is so much better and healthier. Right now I am using natural progesterone cream (which can be bought over the counter...in most health food or vitamin places ..like GNC)...It is made from natural yam. I also found out about a product called Medigest ...it is made in India...I am currently researching it with a view toward supplementing my progesteron cream therapy (which I use btwn days 12-26). I seem calmer and the night sweats have lessened and last month my bleeding was not as heavy.

The doctor explained to me that although my estrogen levels are lower than they used to be.....my progesterone level is even lower...which makes me estrogen dominant. I read alot of Dr. Lee's material about peri-menopause etc...and the symptoms vary depending upon an individuals hormone levels. I mailed away for a hormone level test and am going to send it back so that I can see exactly where my hormone levels are currently so I can better address the imbalance. I think it is good to take the tests from time to time as your hormone levels continue to change until you actually hit the jackpot (menopause)...LOL.

Faith47
01-05-2007, 02:37 PM
Hi Karen
Thanks for sharing all that info. I am currently 46 and had been having very heavy menstrual bleeding (almost seemed like hemmoraghing). I also started having the night sweats...especially right before my period. My breast also felt very tender not only before my period but right around the time I would normally ovulate. My doctor decided to put my on Progestin....However, after doing some research, I had my reservations about taking it due to the possible adverse affects. I always think going natural is so much better and healthier. Right now I am using natural progesterone cream (which can be bought over the counter...in most health food or vitamin places ..like GNC)...It is made from natural yam. I also found out about a product called Medigest ...it is made in India...I am currently researching it with a view toward supplementing my progesteron cream therapy (which I use btwn days 12-26). I seem calmer and the night sweats have lessened and last month my bleeding was not as heavy.

The doctor explained to me that although my estrogen levels are lower than they used to be.....my progesterone level is even lower...which makes me estrogen dominant. I read alot of Dr. Lee's material about peri-menopause etc...and the symptoms vary depending upon an individuals hormone levels. I mailed away for a hormone level test and am going to send it back so that I can see exactly where my hormone levels are currently so I can better address the imbalance. I think it is good to take the tests from time to time as your hormone levels continue to change until you actually hit the jackpot (menopause)...LOL.

I have a similar symptom than you. First my periods are more frequents, which means less day in between and I cant say its more than usual but it happens more. Once I have my period twice in a month :eek:
I dont get the sweats but I am very anxious. Tired easily, lack energy which I find very hard as there is many things I which I could do but I just dont have the energy. I work so with work, trying to keep the house clean (as much as I can do), grocery, i'm beat. Its frustratring and kind of depressing to tell u the truth.

I am hesitating with taking hormones but I want some energy back!

I know most women start having less period before their menopause, me its the opposite. darn!
You know what? I actually at this point cant wait that its over with which means reaching menopause and its over and done with. Never tought I would say that! lol

UnKnowN LeGenD
01-06-2007, 12:22 AM
Hi Faith47...I can understand your apprehension. And I most certainly understand the changes you are going thru and the way that you feel. However, I do suggest that you do a bit of research about natural progesterone and the benefits thereof.
Progesterone may be exactly the thing that you need to experience less bleeding and less frequent bleeding. Some women are put on the mini pill (progestin) with a view toward lessening the flow and frequency...but as I said in my previous post...I am always a bit skittish about taking anything synthetic. That is why I opted for something natural. Give it a try and see how you feel. May I also suggest that you have your hormone levels tested next time you visit your GYN. It is a simple saliva test...or sometimes they can do it via blood. Either way...it helps to know. Also there are lots of supplements that you can take to help your body feel better, as well as, your improve your mental clarity and emotional well being. I think some of these were mentioned in a prior/similar post just a few wks ago.

jellybean400
01-11-2007, 10:34 AM
I'm too grouchy this morning (and low attention span-ned) to read this thread...

BUT... i am really suffering from pre-menopause - or menopause - or whatever!

I am so achey (especially my legs), so sleepy, but cant sleep at nite - so restless, so moody... i've never felt this crappy in my life!!

Does anyone take any herbal remedies?

I dont know what else i can take... my family has a history of breast cancer thru-out.

I'm ready to ask for a hysterectomy and get it all over with!!

...thanks for letting me vent...feel free to PM me if you have suggestions, too

yellowrose
01-11-2007, 04:20 PM
I'm ready to ask for a hysterectomy and get it all over with!!

Having a hysterectomy will NOT make it better. If they remove your ovaries, it would be much worse.

You said you were achey? Is this mostly in the morning? If so, see your doctor as you may have something else. I have Rheumatoid Arthritis which causes me pain the first hour after I wake up.


I know most women start having less period before their menopause, me its the opposite. darn! Actually having "more" is not uncommon at all. It is only AFTER reaching the end of the "peri-menopause" that the periods begin to be much lighter and fewer days. At least that was MY experience and that of my girlfriends who have been through this.

Why don't you ladies go see a doctor? ;)

jellybean400
01-23-2007, 05:46 PM
As far as the aches, I also have osteoarthritis. Mostly in my knees, but the leg pain all along my legs is bad now, and my back. I just feel horrible everywhere. I think if i tell a doctor, they'll think i'm insane! (and i may be! :) )

I have no energy. I sleep for like 12 hours (i've been off work due to knee pain, but i have to go back Thursday).

I am scheduled to see a new primary care physician, so i guess i'll tell him everything. My last blood work showed low potassium, but my doctor didnt tell me to do anything about it. I started eating more oranges and bananas on my own.

I have a bad attitude about doctors, i think. I feel like they only want to help someone who has something obvious, or really serious. Oh well...another one of my moods...lol...

Edited to add: what i meant about getting a hysterectomy is, wont menopause hit right away then? instead of taking 10 years to go thru, which i've been told is the way it is now.

Lanie66
01-25-2007, 08:58 AM
I am 66 and definitely post menopausal. I don't imagine most of you want to hear this but I would rather be having periods than having these menopause symptoms. My hotflashes have subsided some. I was always under the impression that once you were post menopausal that the hotflashes quit too. But my dr. said I could have them the rest of my life! I still have difficulty sleeping. I take and otc remedy for that. Don't think just because you don't have a period anymore that the symptoms will go away.........didn't work that way for me anyway.


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