Kegel Exercises
Even though kegel exercise have been hyped up to be a cure for many pelvic and urological disorders in women, Kegel exercises only help less than 10% of women with vaginismus. These exercises can help relax the pelvic muscles and coordinate vaginal movements. Over time kegel exercises, do help one control vaginal muscles. However, many women lack compliance with kegel exercises because they do not believe it works
Vaginal Dilation Exercises
Vaginal dilation exercises are suggested using a variety of dilators. This exercise should initially be done under the direction of a sex therapist. Over time it should involve the partner. The treatment should also emphasize intimate contact and caring
Some women have a very tight vaginal orifice and may require gentle vaginal dilation exercises. These dilatation exercise can be done using the patients own fingers, plastic instruments called dilators or one may even use a dildo. The size of these instruments is gradually increased over time. One is also encouraged to perform kegel exercise with the dilators in the vagina. Use of dildos is highly recommended. Many women do improve with vaginal dilation exercises and incredibly prefer the dildo to the penis over time.
Once the patient is ready and feels relaxed, sexual intercourse can be attempted. While some women do respond to these vaginal dilatation exercises, others develop apprehension when a real penis is introduced. In these women, psychotherapy is encouraged, as the problem may be more emotional than physical.
Educational Treatment
While there may be a physical cause of vaginismus in some women, in the majority of women fear of the penis is a compounding problem. Thus, education and psychotherapy is vital. Women should be made to understand anatomy of the sexual organs and how sexual intercourse is attempted. The various taboos and myths about sexual and sexual organs have to be dispelled to enable one to enjoy sexual intercourse
Counseling
No matter how extensive physical treatments are undertaken, psychological counseling is a must in all these women. Psychological counseling can also help over come past sexual abuse or traumatic events
Prevention of Vaginismus
When a female finds sexual intercourse painful, it is important to seek help right away.The longer one delays help, the more agonizing the problem becomes for both partners.
Prevention of vaginismus starts in the bedroom. To help prevent vaginismus, it is essential that the female be honest with her partner and talk to him about her fears. Of course, it is essential that the partner be understanding and help out in the process. It is a time consuming process that can be overcome with support and understanding by both partners.
While exact numbers are not available, the majority of women can over come vaginismus. Ironically, some women do overcome the problem when they get a new male partner.
Thursday, June 11, 2009
Vaginismus: Part 3
Diagnosis
The diagnosis of vaginismus is based on history and physical exam. A pelvic exam may give clue to the presence of vaginismus. Sometimes there may be a physical cause of vaginismus that may become evident on a physical exam. In some women, it may be impossible for the doctor to insert his finger or a speculum into the vagina. These women usually have no vaginal secretions, are apprehensive, and keep on tightening their legs. In severe cases of vaginismus, the physician may need to place the patient under some type of anesthesia or administer sedation.
It is vital that the health care professional rule out a physical cause of vaginismus. Once the physical causes have been ruled out, the treatment can be emphasized on the root psychological causes.
Treatment
Treatment of vaginismus is a prolonged process and there is no magic bullet. What should be understood from the beginning is that vaginismus treatment should be offered to both partners. Education and understanding of the pathology is vital. Different women respond to different treatments. The available treatments include psychotherapy, education and vaginal muscle exercises
The diagnosis of vaginismus is based on history and physical exam. A pelvic exam may give clue to the presence of vaginismus. Sometimes there may be a physical cause of vaginismus that may become evident on a physical exam. In some women, it may be impossible for the doctor to insert his finger or a speculum into the vagina. These women usually have no vaginal secretions, are apprehensive, and keep on tightening their legs. In severe cases of vaginismus, the physician may need to place the patient under some type of anesthesia or administer sedation.
It is vital that the health care professional rule out a physical cause of vaginismus. Once the physical causes have been ruled out, the treatment can be emphasized on the root psychological causes.
Treatment
Treatment of vaginismus is a prolonged process and there is no magic bullet. What should be understood from the beginning is that vaginismus treatment should be offered to both partners. Education and understanding of the pathology is vital. Different women respond to different treatments. The available treatments include psychotherapy, education and vaginal muscle exercises
Vaginismus: Part 2
Vaginismus is classified into two categories- primary and secondary. In primary vaginismus, women have never had successful sexual intercourse primary due to pain or apprehension about pain from penile penetration. The symptoms are variable. Some women only find penetration painful but can have an intimate relationship. In others, even the thought of being intimate is associated with painful spasms. These women also have a great deal of difficulty in undergoing routine medical procedures like the pap smear and a pelvic exam. In secondary vaginismus, women have had successful sexual intercourse in the past but now have developed vaginismus.
Risk Factors
Why does Vaginismus occur? While the exact cause is unknown, there are several risk factors that can lead to the disorder. This includes:
- prior history of sexual abuse
- prior history of sexual trauma (rape)
- a frightening experience during a pelvic medical
examination in childhood
- Painful first intercourse
- Difficulty with interpersonal Relationships
- Sexual inhibition
- Sexual taboos in family
- Not wanting to become pregnant
- Prior painful episode associated with an infection,
surgery
- Superstitious beliefs about sex and sexual organs
Symptoms
Not all women have the same degree of vaginismus. The severity is variable. However, in general most women are not able to have sexual intercourse without feeling pain. There are some women who experience pain during a pelvic exam, insertion of a tampon or even insertion of a vaginal suppository. A few women just cannot accept the fact that a penis can enter the vagina without causing pain. This leads to apprehension and pain.
Risk Factors
Why does Vaginismus occur? While the exact cause is unknown, there are several risk factors that can lead to the disorder. This includes:
- prior history of sexual abuse
- prior history of sexual trauma (rape)
- a frightening experience during a pelvic medical
examination in childhood
- Painful first intercourse
- Difficulty with interpersonal Relationships
- Sexual inhibition
- Sexual taboos in family
- Not wanting to become pregnant
- Prior painful episode associated with an infection,
surgery
- Superstitious beliefs about sex and sexual organs
Symptoms
Not all women have the same degree of vaginismus. The severity is variable. However, in general most women are not able to have sexual intercourse without feeling pain. There are some women who experience pain during a pelvic exam, insertion of a tampon or even insertion of a vaginal suppository. A few women just cannot accept the fact that a penis can enter the vagina without causing pain. This leads to apprehension and pain.
Who do i feel pain during intercourse: Vaginismus?
Despite what men think, painful intercourse or vaginismus is quite common in women. Because many women remain shy or fear embarrassment, medical help is never sought. This is very unfortunate because there is some type of help available for this agonizing disorder. Painful intercourse is known as vaginismus. Vaginismus is best described as uncontrolled involuntary spasms of vaginal muscles. The vaginal spasms occur generally during sexual activity and are associated with pain. However, there are times when the female develops vaginal spasms even prior to penetration- this is believed to be due to fear.
The muscle spasms can be so intense that intercourse can be painful and very unpleasant. In severe cases of vaginismus, the very sight of the penis next to the vagina leads to apprehension and difficulty with penetration. The disorder is somewhat difficult to understand but is thought to have both physical and emotional reasons as the cause.
Estimates from sexual dysfunction clinics reveal that about 2% of women in North America have this disorder. The disorder can lead to severe pain during sexual intercourse and often leads to emotional torment. Women who have this disorder feel extremely guilty and both partners remain unsatisfied sexually. In the long run, vaginismus often leads to dissatisfaction and discord in marital relationships. Over time, both partners develop frustration, anger, and depression.
Why vaginismus occurs is not always clear but is believed to be a response to past traumatic sexual events or other interrelated situations. In many women, no cause is ever found.
The muscle spasms can be so intense that intercourse can be painful and very unpleasant. In severe cases of vaginismus, the very sight of the penis next to the vagina leads to apprehension and difficulty with penetration. The disorder is somewhat difficult to understand but is thought to have both physical and emotional reasons as the cause.
Estimates from sexual dysfunction clinics reveal that about 2% of women in North America have this disorder. The disorder can lead to severe pain during sexual intercourse and often leads to emotional torment. Women who have this disorder feel extremely guilty and both partners remain unsatisfied sexually. In the long run, vaginismus often leads to dissatisfaction and discord in marital relationships. Over time, both partners develop frustration, anger, and depression.
Why vaginismus occurs is not always clear but is believed to be a response to past traumatic sexual events or other interrelated situations. In many women, no cause is ever found.
Wednesday, June 10, 2009
Herbs and Menopause: Part 2
Black cohosh has been widely used in northern Europe for more than 2 decades and has recently become popular in North America. However, even the European data indicates that Black cohosh does not work in all women and even today, there are no scientific data on its clinical benefits. However, the product is safe. The North American Menopause Society does supports short-term use of black cohosh for treating menopausal symptoms because it seems to have a low risk of side effects when used for up to six months. However, the long-term effects of black cohosh remain unknown. Some recent studies have found that the herb does not reduce hot flashes any better than a placebo.
Miscellaneous: There are numerous other herbs and dietary supplements available that have been postulated to treat menopausal symptoms- many females swear that these supplements work. These products include dong quai, licorice, chasteberry, evening primrose oil, and wild yam (natural progesterone cream). Even though these products have been around for more than 2 decades, there is no scientific data to back any of the claims made by women users or the manufacturers. A few of these products have also been found to contain contaminants and there are even reports of fake products.
The problem with the herbal and nutrient industry is that there is very little quality control. The same product contains different ingredients when bought in a different store. No one seems to know if these additional ingredients are safe and how long they should be consumed. We have already had many surprises from China regarding food contaminants.The consumer should be aware that the majority of these herbal supplements come from the Orient- where fakes and counterfeits products are the norm.
Before one starts to take a whole range of products with unknown ingredients, be sure to consult your doctor. There definitely are some herbs, which are useful, but the question is which one. In the end, like all things in life, the adage buyer beware should be well heeded.
Miscellaneous: There are numerous other herbs and dietary supplements available that have been postulated to treat menopausal symptoms- many females swear that these supplements work. These products include dong quai, licorice, chasteberry, evening primrose oil, and wild yam (natural progesterone cream). Even though these products have been around for more than 2 decades, there is no scientific data to back any of the claims made by women users or the manufacturers. A few of these products have also been found to contain contaminants and there are even reports of fake products.
The problem with the herbal and nutrient industry is that there is very little quality control. The same product contains different ingredients when bought in a different store. No one seems to know if these additional ingredients are safe and how long they should be consumed. We have already had many surprises from China regarding food contaminants.The consumer should be aware that the majority of these herbal supplements come from the Orient- where fakes and counterfeits products are the norm.
Before one starts to take a whole range of products with unknown ingredients, be sure to consult your doctor. There definitely are some herbs, which are useful, but the question is which one. In the end, like all things in life, the adage buyer beware should be well heeded.
Can I take Herbs to treat menopause?
Almost everyone has had enough with conventional medicine and doctors. Today, there is a big surge among consumers seeking alternative care for their medical problems. One such problem is menopause- which has never been satisfactorily treated with traditional medical drugs. So the question is, "do herbs and supplements help treat menopause"?
Today there are many herbs that are touted to help treat symptoms of menopause. Some of the herbs and supplements include:
Phytoestrogens: There are certain vegetable foods that are known to contain phytoestrogens (similar to the female sex hormone-estrogen). There are two main types of phytoestrogens — isoflavones and lignans. Isoflavones have been found in soybeans, chickpeas and peas. Lignans have been found in flaxseeds, whole grains and some fruits and vegetables. Researchers in the Orient first noticed that women in that part of the World had very mild menopausal symptoms and a much lower incidence of heart disease and osteoporosis. It was later discovered that their diet was rich in Phytoestrogens which possibly provided the protective effect. However, addition of isoflavones to western diets has not been found to be effective at least in the short-term and longer-term follow up is required. There has also been a concern that high estrogen levels after menopause may be associated with an increased incidence of breast cancer. So far, the data on soy products remains unknown and all reports remain anecdotal. However, research on this topic is ongoing.
Vitamin E has been widely postulated to diminish symptoms of menopause. It's effects are claimed to be immediate. However, clinical reports on vitamin E and menopausal symptoms are scant and the supplement only seems to work in a few people. There are many people who take mega doses of vitamin E and see no difference in their menopausal symptoms.
As to why Vitamin E does not work in all women remains a mystery. Some nutritionists recommend higher doses of vitamin E in women who do not respond to the low dose of vitamin E. However, the FDA strongly advises against taking more than 400 IU of this vitamin because of the potential for serous toxicity.
Today there are many herbs that are touted to help treat symptoms of menopause. Some of the herbs and supplements include:
Phytoestrogens: There are certain vegetable foods that are known to contain phytoestrogens (similar to the female sex hormone-estrogen). There are two main types of phytoestrogens — isoflavones and lignans. Isoflavones have been found in soybeans, chickpeas and peas. Lignans have been found in flaxseeds, whole grains and some fruits and vegetables. Researchers in the Orient first noticed that women in that part of the World had very mild menopausal symptoms and a much lower incidence of heart disease and osteoporosis. It was later discovered that their diet was rich in Phytoestrogens which possibly provided the protective effect. However, addition of isoflavones to western diets has not been found to be effective at least in the short-term and longer-term follow up is required. There has also been a concern that high estrogen levels after menopause may be associated with an increased incidence of breast cancer. So far, the data on soy products remains unknown and all reports remain anecdotal. However, research on this topic is ongoing.
Vitamin E has been widely postulated to diminish symptoms of menopause. It's effects are claimed to be immediate. However, clinical reports on vitamin E and menopausal symptoms are scant and the supplement only seems to work in a few people. There are many people who take mega doses of vitamin E and see no difference in their menopausal symptoms.
As to why Vitamin E does not work in all women remains a mystery. Some nutritionists recommend higher doses of vitamin E in women who do not respond to the low dose of vitamin E. However, the FDA strongly advises against taking more than 400 IU of this vitamin because of the potential for serous toxicity.
Wednesday, May 20, 2009
Symptoms of low estrogens: part 3
Headaches are also quite frequent when natural estrogen levels are diminished Most headaches are mild to moderate in intensity and do respond to the usual NSAIDs. Headaches often last a few hours and are worsened by stress, anxiety, excess light exposure and certain smells.
Dry skin is a common complain in most women who are going through menopause. Associated with dry skin is a persistent itch. Dry skin is usually most prevalent on the chest, neck, abdomen and legs. While the dry skin does get better with a moisturizer, the itch is often unrelieved. Some women need topical hydrocortisone to decrease the itching.
Weight gain is a common complaint during menopause. The first sign of increased weight gain is swelling of the feet. Soon women notice that their clothes are too tight and the shoes feel too tight. Fortunately, the weight gain during menopause is due to water and this gradually disappears with time
Mood changes are common in women who are going through menopause. The most common mood disorder is depression but anxiety, extreme irritability, and anger are also common features. Many women complain of poor sleep, find no pleasure in most things in life, and somehow feel that life has no meaning. The fortunate thing about these emotional symptoms is that they are not very intense and do not last forever. Most women get over these symptoms with good family support. It is the rare female who needs medication to help reverse the depression.
Menopause is a difficult time for most women. However, not all women develop every symptoms. In most cases, symptoms are mild to moderate in intensity. When symptoms are intense, it can affect lifestyle, cause social isolation, and persistent melancholy. Women who do develop symptoms during menopause can be helped with a short course of estrogen and progesterone. Menopause in general does not last more than 2-4 years.
Dry skin is a common complain in most women who are going through menopause. Associated with dry skin is a persistent itch. Dry skin is usually most prevalent on the chest, neck, abdomen and legs. While the dry skin does get better with a moisturizer, the itch is often unrelieved. Some women need topical hydrocortisone to decrease the itching.
Weight gain is a common complaint during menopause. The first sign of increased weight gain is swelling of the feet. Soon women notice that their clothes are too tight and the shoes feel too tight. Fortunately, the weight gain during menopause is due to water and this gradually disappears with time
Mood changes are common in women who are going through menopause. The most common mood disorder is depression but anxiety, extreme irritability, and anger are also common features. Many women complain of poor sleep, find no pleasure in most things in life, and somehow feel that life has no meaning. The fortunate thing about these emotional symptoms is that they are not very intense and do not last forever. Most women get over these symptoms with good family support. It is the rare female who needs medication to help reverse the depression.
Menopause is a difficult time for most women. However, not all women develop every symptoms. In most cases, symptoms are mild to moderate in intensity. When symptoms are intense, it can affect lifestyle, cause social isolation, and persistent melancholy. Women who do develop symptoms during menopause can be helped with a short course of estrogen and progesterone. Menopause in general does not last more than 2-4 years.
Symptoms of low estrogen: Part 2
What are symptoms of low estrogen?
For some unknown reason, some women who have low levels of estrogen just go through life without any real hassles. In others, low estrogen can cause a variety of symptoms including:
Generalized fatigue is one of the most common complaint among women who are passing through menopause. The fatigue is gradual in onset and then become moderate. Most women feel they just do not have the desire to do anything and do not feel motivated.
Hot flashes are also common in women with low estrogen. The hot flashes may occur at any time of the day and can be aggravated by certain foods or emotional stress. The flashes generally last anywhere from few seconds to a few minutes. One may also feel very warm and others may develop an intense facial irritation at the same time. Hot flashes do not last very long and usually disappear after 12-18 months. However, there are women who have hot flashes for many years.
Associated with hot flashes are chills. A sensation of feeling cold and shivering is a common experience in women who have menopause. These chill episodes only last a few seconds but do keep on recurring. Often laboratory investigations are done to rule out an infectious cause.
A number of women complain of aching and stiff joints during menopause. Usually, it is the larger joints in the body that are affected. This includes the hip, back, neck, shoulder, and knees. The pain is constant and many women do require some type of pain medications
For some unknown reason, some women who have low levels of estrogen just go through life without any real hassles. In others, low estrogen can cause a variety of symptoms including:
Generalized fatigue is one of the most common complaint among women who are passing through menopause. The fatigue is gradual in onset and then become moderate. Most women feel they just do not have the desire to do anything and do not feel motivated.
Hot flashes are also common in women with low estrogen. The hot flashes may occur at any time of the day and can be aggravated by certain foods or emotional stress. The flashes generally last anywhere from few seconds to a few minutes. One may also feel very warm and others may develop an intense facial irritation at the same time. Hot flashes do not last very long and usually disappear after 12-18 months. However, there are women who have hot flashes for many years.
Associated with hot flashes are chills. A sensation of feeling cold and shivering is a common experience in women who have menopause. These chill episodes only last a few seconds but do keep on recurring. Often laboratory investigations are done to rule out an infectious cause.
A number of women complain of aching and stiff joints during menopause. Usually, it is the larger joints in the body that are affected. This includes the hip, back, neck, shoulder, and knees. The pain is constant and many women do require some type of pain medications
symptoms of low estrogen
What are symptoms of low estrogen?
Menopause has become a common topic of discussion for many women. Unlike the past when the topic was considered taboo, many women now feel that speaking about the condition has brought awareness and better treatment. Menopause is a physiological event which every woman will go through in the 4th-5th decade of life. The sex hormones start to decline and many women develop symptoms. Some women develop only mild symptoms, but others who are unlucky develop a variety of physiological and emotional problems.
Can surgery lead to low estrogen levels?
Sure, another common reason why women have symptoms of low estrogen is after a hysterectomy. Hysterectomy is a surgical procedure which removes the uterus and ovaries. Ovaries make estrogen and thus once these organs are removed, no more estrogen can be made.
What are options for females who have low estrogen levels?
Hormone replacement therapy (HRT) with estrogen and progesterone is recommended in some women but the major concern is the possibility of developing breast or uterine cancer.
Menopause has become a common topic of discussion for many women. Unlike the past when the topic was considered taboo, many women now feel that speaking about the condition has brought awareness and better treatment. Menopause is a physiological event which every woman will go through in the 4th-5th decade of life. The sex hormones start to decline and many women develop symptoms. Some women develop only mild symptoms, but others who are unlucky develop a variety of physiological and emotional problems.
Can surgery lead to low estrogen levels?
Sure, another common reason why women have symptoms of low estrogen is after a hysterectomy. Hysterectomy is a surgical procedure which removes the uterus and ovaries. Ovaries make estrogen and thus once these organs are removed, no more estrogen can be made.
What are options for females who have low estrogen levels?
Hormone replacement therapy (HRT) with estrogen and progesterone is recommended in some women but the major concern is the possibility of developing breast or uterine cancer.
Thursday, May 14, 2009
Do Celebs take bioidentical hormones? part 3
Is there evidence that these bioidentical hormones work?
One should note that all data on bioidentical hormones are anecdotal and there are no controlled clinical studies or long-term safety reports available. Most reports of bioidentical hormones are from vendors and isolated case reports
The Europeans have been using these bioidentical hormones for many more years and claims that for the short term; these hormones are effective in relieving symptoms of menopause. Most alternative care practitioners recommend that bioidentical hormones should be used in low doses, for a short duration and must be complimented with changes in diet and lifestyles.
Can bioidentical hormone reverse aging?
No dealer of these bioidentical hormones recommends that these products be used for long periods or as a cure for aging.
Who should not take bioidentical hormones?
Women who do have breast cancer or even have a family history of breast cancer should be careful about using such products, Sex hormones like estrogen and progesterone can in fact promote growth of cancer.
What is cost of bioidentical hormones?
The cost of bioidentical hormones is variable but one can expect to pay about $100 a month for these supplements.
One should note that all data on bioidentical hormones are anecdotal and there are no controlled clinical studies or long-term safety reports available. Most reports of bioidentical hormones are from vendors and isolated case reports
The Europeans have been using these bioidentical hormones for many more years and claims that for the short term; these hormones are effective in relieving symptoms of menopause. Most alternative care practitioners recommend that bioidentical hormones should be used in low doses, for a short duration and must be complimented with changes in diet and lifestyles.
Can bioidentical hormone reverse aging?
No dealer of these bioidentical hormones recommends that these products be used for long periods or as a cure for aging.
Who should not take bioidentical hormones?
Women who do have breast cancer or even have a family history of breast cancer should be careful about using such products, Sex hormones like estrogen and progesterone can in fact promote growth of cancer.
What is cost of bioidentical hormones?
The cost of bioidentical hormones is variable but one can expect to pay about $100 a month for these supplements.
Do Celebs take bioidentical hormones? part 2
Are bioidentical hormones useful?
Sure, if you take the right dose these hormones can help prevent osteoporosis, reverse some signs of aged skin, improve physical and mental well being.
Do celebs take bioidentical hormones?
This is difficult to answer because many celebs are spokespeople for the companies who market these products. Celebs get paid to talk about these hormones, so the assumption is that they also take them! Most celebrities who take these bioidentical hormones claim that the hormones make them feel young, boosts their energy, and improves quality of skin.
The manufactures of these products do claim that the hormones are natural and much safer than any of the other synthetic prescription hormones.
What is the biggest advantage of bioidentical hormones?
The biggest advantage of bioidentical hormones is that one can get custom designed formulations, which is not possible with the synthetic prescription hormones.
Are there any issues with bioidentical hormones?
Yes, Recently the FDA letters to several pharmacies to cease making compounded formulations and selling them. The FDA has concerns that there is little evidence for efficacy of these hormones and perhaps they may even contain impurities or contaminants. The hormones come in a variety of formulations and the FDA suspects that the quality and quantity of bioidentical hormones may not be safe for human consumption.
Sure, if you take the right dose these hormones can help prevent osteoporosis, reverse some signs of aged skin, improve physical and mental well being.
Do celebs take bioidentical hormones?
This is difficult to answer because many celebs are spokespeople for the companies who market these products. Celebs get paid to talk about these hormones, so the assumption is that they also take them! Most celebrities who take these bioidentical hormones claim that the hormones make them feel young, boosts their energy, and improves quality of skin.
The manufactures of these products do claim that the hormones are natural and much safer than any of the other synthetic prescription hormones.
What is the biggest advantage of bioidentical hormones?
The biggest advantage of bioidentical hormones is that one can get custom designed formulations, which is not possible with the synthetic prescription hormones.
Are there any issues with bioidentical hormones?
Yes, Recently the FDA letters to several pharmacies to cease making compounded formulations and selling them. The FDA has concerns that there is little evidence for efficacy of these hormones and perhaps they may even contain impurities or contaminants. The hormones come in a variety of formulations and the FDA suspects that the quality and quantity of bioidentical hormones may not be safe for human consumption.
Do Celebs take bioidentical hormones?
Do bioidentical hormones have benefits?
Even though menopause is a normal passage in the life of every woman, it sure is a difficult time for many. For decades menopause was a taboo topic. No one ever discussed it, it was a secret time in the life of a woman. This unfortunately led to many women suffering needlessly. Menopause is a time of emotional and physical changes. Each woman experiences different degrees of symptoms. One may starts to feel old, tired, grumpy and depressed. So how do celebs manage menopause? How do these hollywood gals always look cheerful, bright, energetic, and eager for more sex?
Well, this has been the untold secret of the past. For decades, many celebs have routinely been using extracts of plants that contain bioidentical hormones. Bioidentical hormones are very similar to the natural female sex hormones made in the body
Where can one get bioidentical hormones?
Bioidentical hormones were once widely sold all over the internet and in many health supplement stores. Today, the FDA has cracked down on health food stores selling these hormones and mandating consumers get a prescription to obtain these drugs
There are many formulations of bioidentical hormones and one can even get individualized formulations.
How can one tell if I need a bioidentical hormone?
The business of bioidentical hormones is big and now these vendors also market their own testing systems. One of these tests can check hormone levels in saliva. If levels of hormones in saliva are low, you can take them. However, there is a lot of controversy about these saliva tests. They are expensive, not reliable, and certainly not approved by the FDA. The tests would best be described as scams. There are other established clinical laboratory tests that can measure levels of hormones in blood, but these tests are also expensive, take time and do have some variability. However, these tests are more reliable than the saliva tests.
Even though menopause is a normal passage in the life of every woman, it sure is a difficult time for many. For decades menopause was a taboo topic. No one ever discussed it, it was a secret time in the life of a woman. This unfortunately led to many women suffering needlessly. Menopause is a time of emotional and physical changes. Each woman experiences different degrees of symptoms. One may starts to feel old, tired, grumpy and depressed. So how do celebs manage menopause? How do these hollywood gals always look cheerful, bright, energetic, and eager for more sex?
Well, this has been the untold secret of the past. For decades, many celebs have routinely been using extracts of plants that contain bioidentical hormones. Bioidentical hormones are very similar to the natural female sex hormones made in the body
Where can one get bioidentical hormones?
Bioidentical hormones were once widely sold all over the internet and in many health supplement stores. Today, the FDA has cracked down on health food stores selling these hormones and mandating consumers get a prescription to obtain these drugs
There are many formulations of bioidentical hormones and one can even get individualized formulations.
How can one tell if I need a bioidentical hormone?
The business of bioidentical hormones is big and now these vendors also market their own testing systems. One of these tests can check hormone levels in saliva. If levels of hormones in saliva are low, you can take them. However, there is a lot of controversy about these saliva tests. They are expensive, not reliable, and certainly not approved by the FDA. The tests would best be described as scams. There are other established clinical laboratory tests that can measure levels of hormones in blood, but these tests are also expensive, take time and do have some variability. However, these tests are more reliable than the saliva tests.
Saturday, May 2, 2009
Black Cohosh 101 part 4
Does black cohosh work?
Well, this depends on whom you talk to. Many postmenopausal women swear that it works and there are just as many who claim that it does not work. Medical evidence based on a few trials indicates that perhaps for a few menopausal symptoms like migraines and hot flashes, black cohosh may work. The duration of treatment should be for no more than 6 months.
Can black cohosh cause allergies?
Yes, black cohosh or other members of the Ranunculaceae (buttercup or crowfoot) family can cause allergic problems. Further Black cohosh should be used cautiously in people allergic to aspirin or to salicylate.
Does black cohosh have any side effects?
Black cohosh is a safe supplement when used at low doses for up to 6 months. High doses of black cohosh have been known to cause headache, dizziness, sweating, or visual disturbances. Other side effects observed in clinical studies include constipation, abdominal cramps, bloating, loss of bone mass (leading to osteoporosis), irregular or slow heartbeat, low blood pressure, muscle damage, nausea, and vomiting. Confusion and tiredness have also been reported in many women. Sometimes, it is difficult to know whether one is having symptoms of menopause or side effects from the drug.
Is black cohosh safe when one has breast cancer?
No one knows for sure if black cohosh is safe in individuals with breast cancer, uterine cancer, or endometriosis. Because its action are not well understood, most health care professionals recommend against its use when such conditions exist.
Can black cohosh reduce stroke risk or improve bone mass?
No one knows if black cohosh can mimic the effects of estrogen on bone or whether it can reduce the risk of stroke
What complications have resulted from black cohosh?
With widespread use of black cohosh, there are now a fair number of complications reported. There are reports of liver failure with use of black cohosh. Some individuals have even required a liver transplant. While the number of patients with liver damage are low, it is still highly recommended that anyone with liver disease first consult a physician before taking black cohosh
Can black cohosh blood clots?
While the answer to this is not really known, black cohosh should be used with great caution in individuals with a history of blood clots, seizures, or high blood pressure
Is black cohosh safe during pregnancy?
The safety of black cohosh has not been established during pregnancy or in females who breast-feed. Black cohosh has been used in the past to stimulate labor. Most physicians recommend against the use of black cohosh during pregnancy.
Well, this depends on whom you talk to. Many postmenopausal women swear that it works and there are just as many who claim that it does not work. Medical evidence based on a few trials indicates that perhaps for a few menopausal symptoms like migraines and hot flashes, black cohosh may work. The duration of treatment should be for no more than 6 months.
Can black cohosh cause allergies?
Yes, black cohosh or other members of the Ranunculaceae (buttercup or crowfoot) family can cause allergic problems. Further Black cohosh should be used cautiously in people allergic to aspirin or to salicylate.
Does black cohosh have any side effects?
Black cohosh is a safe supplement when used at low doses for up to 6 months. High doses of black cohosh have been known to cause headache, dizziness, sweating, or visual disturbances. Other side effects observed in clinical studies include constipation, abdominal cramps, bloating, loss of bone mass (leading to osteoporosis), irregular or slow heartbeat, low blood pressure, muscle damage, nausea, and vomiting. Confusion and tiredness have also been reported in many women. Sometimes, it is difficult to know whether one is having symptoms of menopause or side effects from the drug.
Is black cohosh safe when one has breast cancer?
No one knows for sure if black cohosh is safe in individuals with breast cancer, uterine cancer, or endometriosis. Because its action are not well understood, most health care professionals recommend against its use when such conditions exist.
Can black cohosh reduce stroke risk or improve bone mass?
No one knows if black cohosh can mimic the effects of estrogen on bone or whether it can reduce the risk of stroke
What complications have resulted from black cohosh?
With widespread use of black cohosh, there are now a fair number of complications reported. There are reports of liver failure with use of black cohosh. Some individuals have even required a liver transplant. While the number of patients with liver damage are low, it is still highly recommended that anyone with liver disease first consult a physician before taking black cohosh
Can black cohosh blood clots?
While the answer to this is not really known, black cohosh should be used with great caution in individuals with a history of blood clots, seizures, or high blood pressure
Is black cohosh safe during pregnancy?
The safety of black cohosh has not been established during pregnancy or in females who breast-feed. Black cohosh has been used in the past to stimulate labor. Most physicians recommend against the use of black cohosh during pregnancy.
Black Cohosh 101 part 3
Can black cohosh be used to treat arthritis?
There are only anecdotal reports, which claim that black cohosh is useful in arthritis. At the moment there is no clinical evidence that black cohosh is useful for any type of arthritic disorder. There are many isolated reports which claim that black cohosh does not provide relief from arthritic pain.
Is black cohosh useful for Menopausal symptoms?
Even though black cohosh is a widely popular supplement among postmenopausal women who want treatment for their symptoms, the clinical evidence is not easy to interpret. Most women use black cohosh to treat menopausal symptoms such as migraine headaches, sleep disturbances, hot flashes, mood problems, sweats, heart palpitations, and vaginal dryness. There are some studies in humans that do suggest improvement in symptoms with black cohosh, however, not all women experience the same relief of symptoms, and the symptom relief is not sustained. Some reports indicate that black cohosh does work well for about 3-6 months. Currently, some health care providers only recommend black cohosh for short-term use. Because of the variability in quality of product, many women will have to try out a few products to determine which is the most effective. In the end, all women should understand that black cohosh only works in less than 50% of individuals.
Does black cohosh relieve menstrual migraine?
Nearly 30% of women develop menstrual migraines. Many women do report relief of headaches after ingesting back cohosh but this relief is not seen in all postmenopausal women. Further, after a few weeks or months, black cohosh fails to work. Of all the postmenopausal symptoms, menstrual migraines may be the one symptom that is amenable to treatment with black cohosh.
What is dose of black cohosh?
No one really knows what dose of black cohosh to take. Every herbal store sells a different product with different formulations and a different dose. The British herbal commission recommends a dose of 40-200 milligrams of dried rhizome daily in divided doses. However, there are women who take nearly 300-400 mg three times a day.
The liquid formula does is also variable and ranges from 0.4 to 2 milliliters of a (1:10) formula dissolved in 60% ethanol. This tincture does taste bitter and acrid. Most reports indicate that a dose of 40 mg for 12 weeks if effective
There are only anecdotal reports, which claim that black cohosh is useful in arthritis. At the moment there is no clinical evidence that black cohosh is useful for any type of arthritic disorder. There are many isolated reports which claim that black cohosh does not provide relief from arthritic pain.
Is black cohosh useful for Menopausal symptoms?
Even though black cohosh is a widely popular supplement among postmenopausal women who want treatment for their symptoms, the clinical evidence is not easy to interpret. Most women use black cohosh to treat menopausal symptoms such as migraine headaches, sleep disturbances, hot flashes, mood problems, sweats, heart palpitations, and vaginal dryness. There are some studies in humans that do suggest improvement in symptoms with black cohosh, however, not all women experience the same relief of symptoms, and the symptom relief is not sustained. Some reports indicate that black cohosh does work well for about 3-6 months. Currently, some health care providers only recommend black cohosh for short-term use. Because of the variability in quality of product, many women will have to try out a few products to determine which is the most effective. In the end, all women should understand that black cohosh only works in less than 50% of individuals.
Does black cohosh relieve menstrual migraine?
Nearly 30% of women develop menstrual migraines. Many women do report relief of headaches after ingesting back cohosh but this relief is not seen in all postmenopausal women. Further, after a few weeks or months, black cohosh fails to work. Of all the postmenopausal symptoms, menstrual migraines may be the one symptom that is amenable to treatment with black cohosh.
What is dose of black cohosh?
No one really knows what dose of black cohosh to take. Every herbal store sells a different product with different formulations and a different dose. The British herbal commission recommends a dose of 40-200 milligrams of dried rhizome daily in divided doses. However, there are women who take nearly 300-400 mg three times a day.
The liquid formula does is also variable and ranges from 0.4 to 2 milliliters of a (1:10) formula dissolved in 60% ethanol. This tincture does taste bitter and acrid. Most reports indicate that a dose of 40 mg for 12 weeks if effective
Black Cohosh 101 part 2
How many varieties of black cohosh are there?
There are many varieties of this supplement in Europe. They include:
Actaea macrotys
Actaea racemosa
Amerikanisches Wanzenkraut (German)
Baneberry,
Black cohosh roots
Black snakeroot
Botrophis serpentaria
Bugwort, cimicifuga
Cimicifugae racemosae rhizoma
Cohosh bugbane
Ethanolic aqueous extract
Herbe au punaise (French)
Hydroxytyrosol
Isoferulic
Isopropanolic black cohosh extract
Macrotys
Phytoestrogen
Ranunculaceae (family)
Rattle root
Rattle snakeroot
Rattle top
Rattle weed
Rhizoma actaeae richweed
Rhizome of black cohosh
rich weed
schwarze Schlangenwurzel
snakeroot
solvlys
Squawroot
squawroot
Thalictrodes racemosa
Traubensilberkerze
Wanzwnkraut (German)
Each European country has its own brand of black cohosh. The quality and quantity of the actual active ingredient varies from product to product. Not all of the above products work and not all of them have been evaluated. The only evidence for the majority of the black cohosh products are anecdotal reports by individual women and folklore tales from grandmas.
Is black cohosh same as blue cohosh?
No, one should not confuse black cohosh with blue cohosh, which contains chemicals that have been shown to damage the heart and even increase blood pressure. Further, do not confuse black cohosh with Cimicifuga fetid, bugbane, fairy candles, or sheen ma; these extracts of black cohosh are from the same family (Ranunculaceae) but have drastically with different effects.
There are many varieties of this supplement in Europe. They include:
Actaea macrotys
Actaea racemosa
Amerikanisches Wanzenkraut (German)
Baneberry,
Black cohosh roots
Black snakeroot
Botrophis serpentaria
Bugwort, cimicifuga
Cimicifugae racemosae rhizoma
Cohosh bugbane
Ethanolic aqueous extract
Herbe au punaise (French)
Hydroxytyrosol
Isoferulic
Isopropanolic black cohosh extract
Macrotys
Phytoestrogen
Ranunculaceae (family)
Rattle root
Rattle snakeroot
Rattle top
Rattle weed
Rhizoma actaeae richweed
Rhizome of black cohosh
rich weed
schwarze Schlangenwurzel
snakeroot
solvlys
Squawroot
squawroot
Thalictrodes racemosa
Traubensilberkerze
Wanzwnkraut (German)
Each European country has its own brand of black cohosh. The quality and quantity of the actual active ingredient varies from product to product. Not all of the above products work and not all of them have been evaluated. The only evidence for the majority of the black cohosh products are anecdotal reports by individual women and folklore tales from grandmas.
Is black cohosh same as blue cohosh?
No, one should not confuse black cohosh with blue cohosh, which contains chemicals that have been shown to damage the heart and even increase blood pressure. Further, do not confuse black cohosh with Cimicifuga fetid, bugbane, fairy candles, or sheen ma; these extracts of black cohosh are from the same family (Ranunculaceae) but have drastically with different effects.
Black Cohosh 101
Many postmenopausal women take black Cohosh. The vendors who sell this product make it sound like this product is a remedy for every medical symptom after menopause. One of the major reasons why black cohosh has gained popularity is because it is deemed to be a better alternative to hormonal therapy in menopausal women. Black cohosh is sold as a treatment for:
-hot flashes
-mood disturbances
-diaphoresis (sweating)
-palpitations (fast heart beats)
-vaginal dryness
Is there any evidence that black cohosh works?
There have been a few studies, which have looked at this product, and some studies have revealed an improvement in menopausal symptoms. However, not all studies show the same degree of improvement in symptoms.
How does black cohosh work?
The exact mechanism how black cohosh works is unknown but is believed to be related to either a direct effects on the estrogen receptor or alteration of hormonal levels
Is black cohosh safe?
The supplement has been studied for up to 6 months and appears to be safe for this time period. Long-term safety of black cohosh is not known and caution is advised until more long term data are available
Can black cohosh be used in women with breast cancer?
Use of black cohosh in females with breast or uterine cancer should be used with great caution. Most physicians do not recommend it but if one does use the supplement, it has to be under the supervision of a health care professional
-hot flashes
-mood disturbances
-diaphoresis (sweating)
-palpitations (fast heart beats)
-vaginal dryness
Is there any evidence that black cohosh works?
There have been a few studies, which have looked at this product, and some studies have revealed an improvement in menopausal symptoms. However, not all studies show the same degree of improvement in symptoms.
How does black cohosh work?
The exact mechanism how black cohosh works is unknown but is believed to be related to either a direct effects on the estrogen receptor or alteration of hormonal levels
Is black cohosh safe?
The supplement has been studied for up to 6 months and appears to be safe for this time period. Long-term safety of black cohosh is not known and caution is advised until more long term data are available
Can black cohosh be used in women with breast cancer?
Use of black cohosh in females with breast or uterine cancer should be used with great caution. Most physicians do not recommend it but if one does use the supplement, it has to be under the supervision of a health care professional
Monday, April 13, 2009
Bio identical hormonal therapy 101 Part 2
Besides improving menopausal symptoms, what are other benefits of Bioidentical hormones?
One other benefit of bioidentical HRT is that they can strengthen bone and reduce fractures. Short-term studies with bioidentical HRT have revealed that these hormones are very useful and do help women avoid the ravages of osteoporosis and reduce the risk of heart disease. These bioidentical hormones work exactly like the natural estrogen and progesterone. Recent studies indicate that bioidentical HRT taken soon after menopause protect against early dementia.
How long can one safely take bioidentical hormones?
Bioidentical HRT is meant to be used only for shorten therapy (usually anywhere from 2-5 years).
Who should not take bioidentical hormones?
Bioidentical HRT is not suitable for women who have liver disease, those who have a history of blood clots or have vaginal bleeding which has not yet been diagnosed.
What are side effects of bioidentical hormones?
The typical side effects of bioidentical HRT include headache, bloating, stomach cramps, diarrhea, anxiety, and breast tenderness. These side effects do not occur in everyone and even the intensity will vary. In most cases, the side effects disappear as soon as the hormone therapy is discontinued.
Should there be follow up when taking bioidentical hormones?
Yes, definitely. There is always a potential for complications or side effects and all women who do intend to take these hormones should be followed by a health care professional
One other benefit of bioidentical HRT is that they can strengthen bone and reduce fractures. Short-term studies with bioidentical HRT have revealed that these hormones are very useful and do help women avoid the ravages of osteoporosis and reduce the risk of heart disease. These bioidentical hormones work exactly like the natural estrogen and progesterone. Recent studies indicate that bioidentical HRT taken soon after menopause protect against early dementia.
How long can one safely take bioidentical hormones?
Bioidentical HRT is meant to be used only for shorten therapy (usually anywhere from 2-5 years).
Who should not take bioidentical hormones?
Bioidentical HRT is not suitable for women who have liver disease, those who have a history of blood clots or have vaginal bleeding which has not yet been diagnosed.
What are side effects of bioidentical hormones?
The typical side effects of bioidentical HRT include headache, bloating, stomach cramps, diarrhea, anxiety, and breast tenderness. These side effects do not occur in everyone and even the intensity will vary. In most cases, the side effects disappear as soon as the hormone therapy is discontinued.
Should there be follow up when taking bioidentical hormones?
Yes, definitely. There is always a potential for complications or side effects and all women who do intend to take these hormones should be followed by a health care professional
Bio identical hormonal therapy 101
Is Hormone replacement therapy (HRT) a new concept?
No, Hormone replacement therapy has been practiced with pharmaceutical products for more than 50 years. Women have been prescribed hormones to treat menopause and a variety of disorders where fertility has been affected. However, today HRT has gained impetus chiefly because women want to get rid of symptoms of menopause
What happens during menopause?
During menopause, all women stop making the natural sex hormones, estrogen and progesterone. The loss of these sex hormones is associated with many physical and emotional effects. Thirty years ago, estrogen and progesterone were widely prescribed to treat menopause. However, as clinical evidence accumulated, it was realized that the safety of these hormones in the long run was an issue. Laboratory research showed that long-term use of sex hormones after menopause could lead to growth of breast or uterine cancers.
So what is happening now?
Well we have now come full circle. Instead of using the prescription based synthetic estrogen and progesterone, there is a big demand for the naturally occurring sex hormones. Bioidentical hormones are naturally occurring hormones found in plants. The bioidentical hormones also require a prescription; however, many pharmacies can adjust the formulation so that one can have the right amount of estrogen or progesterone.
Who uses Bioidentical hormones?
Bioidentical HRT is very useful for women who have undergone hysterectomy and those who are undergoing menopause. Younger women who have premature ovarian failure or have undergone a hysterectomy may take the bioidentical HRT for many more years.
How are bioidentical hormones available?
These hormones can be delivered as a patch, pill, cream, gel, or even an injection. The two basic formulations are ones which have a constant dosage and those which have a varying dosage of sex hormones. Bioidentical hormones can also be compounded with testosterone to provide a boost to libido.
No, Hormone replacement therapy has been practiced with pharmaceutical products for more than 50 years. Women have been prescribed hormones to treat menopause and a variety of disorders where fertility has been affected. However, today HRT has gained impetus chiefly because women want to get rid of symptoms of menopause
What happens during menopause?
During menopause, all women stop making the natural sex hormones, estrogen and progesterone. The loss of these sex hormones is associated with many physical and emotional effects. Thirty years ago, estrogen and progesterone were widely prescribed to treat menopause. However, as clinical evidence accumulated, it was realized that the safety of these hormones in the long run was an issue. Laboratory research showed that long-term use of sex hormones after menopause could lead to growth of breast or uterine cancers.
So what is happening now?
Well we have now come full circle. Instead of using the prescription based synthetic estrogen and progesterone, there is a big demand for the naturally occurring sex hormones. Bioidentical hormones are naturally occurring hormones found in plants. The bioidentical hormones also require a prescription; however, many pharmacies can adjust the formulation so that one can have the right amount of estrogen or progesterone.
Who uses Bioidentical hormones?
Bioidentical HRT is very useful for women who have undergone hysterectomy and those who are undergoing menopause. Younger women who have premature ovarian failure or have undergone a hysterectomy may take the bioidentical HRT for many more years.
How are bioidentical hormones available?
These hormones can be delivered as a patch, pill, cream, gel, or even an injection. The two basic formulations are ones which have a constant dosage and those which have a varying dosage of sex hormones. Bioidentical hormones can also be compounded with testosterone to provide a boost to libido.
Nutrition and Menopause Part 2
Supplements: Menopause is a difficult time and associated with mood swing(s) and even depression. Many women do not want to take pharmaceutical products nor do they want to eat an unhealthy diet. For these individuals, supplements may be necessary. During menopause, obtaining sufficient levels of vitamins and nutrients can make a significant difference in having healthy bones and controlling symptoms of menopause. Of the supplements, most physicians recommend Vitamins C, D and E.
However, one should realize that if one is eating a healthy wholesome diet with a decent amount of fruit and vegetables, then why bother to take an artificial pill- which may sometimes be fake or may even contain contaminants!
Before one goes on a mega Vitamin supplement diet, it is essential to see a dietician to supervise the initial phase of dietary manipulation. Large doses of calcium or vitamins have serious side effects. Vitamins A and D in large doses can be particularly dangerous.
As menopause sets in, women realize that they have less energy, have a decline in their physical activity and also a loss of lean body mass. To avoid ravages of age and hormonal changes of menopause, one should start some type of physical activity. Walking, swimming and even light jogging may be a start. The important thing is not to allow the access weight of menopause to continue. There are numerous drugs for weight loss but definitely not recommended. They have far too many potent side effects. The most important is to resume some physical activity. In the end, a healthy body always represents a healthy mind.
However, one should realize that if one is eating a healthy wholesome diet with a decent amount of fruit and vegetables, then why bother to take an artificial pill- which may sometimes be fake or may even contain contaminants!
Before one goes on a mega Vitamin supplement diet, it is essential to see a dietician to supervise the initial phase of dietary manipulation. Large doses of calcium or vitamins have serious side effects. Vitamins A and D in large doses can be particularly dangerous.
As menopause sets in, women realize that they have less energy, have a decline in their physical activity and also a loss of lean body mass. To avoid ravages of age and hormonal changes of menopause, one should start some type of physical activity. Walking, swimming and even light jogging may be a start. The important thing is not to allow the access weight of menopause to continue. There are numerous drugs for weight loss but definitely not recommended. They have far too many potent side effects. The most important is to resume some physical activity. In the end, a healthy body always represents a healthy mind.
Nutrition and Menopause
Everyone agrees that a well balanced diet is essential for good health and this is especially true when it comes to menopause. However, the exact nutritional requirement for the menopausal female are varied and change with age. Some of the basic essential nutrients should include:
Calcium: A healthy premenopausal woman should have about 1,000 mgs of calcium per day. A 1994 Consensus Conference at the National Institutes of Health recommended that women after menopause consume 1,500 mgs per day if they are not using hormonal replacement or 1,000 mgs per day in conjunction with hormonal replacement. Foods which are high in calcium include milk, yogurt, cheese, some sea food products and dark green leafy vegetables (spinach and broccoli). Calcium is also available as a pill or a powder and is easily absorbed from the gut. For those who have milk intolerance, acidophilus milk is more tolerable.
Vitamins D: This bone forming vitamin is now becoming an important additive for all women nearing menopause. It enhances calcium absorption and helps to strengthen bone. Numerous studies have shown that post menopausal women who take Vitamin D have a lower incidence of spinal fractures and joint pains. Other studies reveal that vitamin D consumption is associated with a marked decrease in bone pain. However, these issues remain controversial because not all patients demonstrate the same benefit. One also has to be aware that excess consumption of vitamin D can lead to formation of kidney stones, constipation, abdominal pain and even bone pain.
Low fat diet: Most dieticians and physicians indicate that an overall healthy diet for the menopausal female should consists of foods with low fat and less saturated fat. This diet is ideal not only for menopausal females but overall good health. The fat intake should be less than 30% of the daily calories
Vegetables: Eating fruits, vegetables, and whole grain cereal products, especially those high in vitamin C and carotene are absolutely vital for obtaining all the essential nutrients for bone growth. Other plants foods highly recommended include oranges, grapefruit, carrots, winter squash, tomatoes, broccoli, cauliflower, and green leafy vegetables. These foods are good sources of vitamins and minerals and the major sources of dietary fiber. The increased fiber content not only helps with constipation but is associated with a decrease in colon cancer. Menopausal females are encouraged to consume 20 to 30 grams of fiber per day.
Meat: We have come to realize that meat and meat like products are fun to eat but not good for health. These products have been associated with numerous health problems, including blood pressure, obesity, heart disease and colon cancer. They do not contain any essential nutrients for bone growth
In general, a common sense approach to diet is needed. Anything in excess is bad. The most important thing is to enjoy the foods, eat a little of everything you desire, walk a little more and remember, menopause is not the end- but just the beginning of a new lifestyle
Calcium: A healthy premenopausal woman should have about 1,000 mgs of calcium per day. A 1994 Consensus Conference at the National Institutes of Health recommended that women after menopause consume 1,500 mgs per day if they are not using hormonal replacement or 1,000 mgs per day in conjunction with hormonal replacement. Foods which are high in calcium include milk, yogurt, cheese, some sea food products and dark green leafy vegetables (spinach and broccoli). Calcium is also available as a pill or a powder and is easily absorbed from the gut. For those who have milk intolerance, acidophilus milk is more tolerable.
Vitamins D: This bone forming vitamin is now becoming an important additive for all women nearing menopause. It enhances calcium absorption and helps to strengthen bone. Numerous studies have shown that post menopausal women who take Vitamin D have a lower incidence of spinal fractures and joint pains. Other studies reveal that vitamin D consumption is associated with a marked decrease in bone pain. However, these issues remain controversial because not all patients demonstrate the same benefit. One also has to be aware that excess consumption of vitamin D can lead to formation of kidney stones, constipation, abdominal pain and even bone pain.
Low fat diet: Most dieticians and physicians indicate that an overall healthy diet for the menopausal female should consists of foods with low fat and less saturated fat. This diet is ideal not only for menopausal females but overall good health. The fat intake should be less than 30% of the daily calories
Vegetables: Eating fruits, vegetables, and whole grain cereal products, especially those high in vitamin C and carotene are absolutely vital for obtaining all the essential nutrients for bone growth. Other plants foods highly recommended include oranges, grapefruit, carrots, winter squash, tomatoes, broccoli, cauliflower, and green leafy vegetables. These foods are good sources of vitamins and minerals and the major sources of dietary fiber. The increased fiber content not only helps with constipation but is associated with a decrease in colon cancer. Menopausal females are encouraged to consume 20 to 30 grams of fiber per day.
Meat: We have come to realize that meat and meat like products are fun to eat but not good for health. These products have been associated with numerous health problems, including blood pressure, obesity, heart disease and colon cancer. They do not contain any essential nutrients for bone growth
In general, a common sense approach to diet is needed. Anything in excess is bad. The most important thing is to enjoy the foods, eat a little of everything you desire, walk a little more and remember, menopause is not the end- but just the beginning of a new lifestyle
Sunday, April 12, 2009
Herbal therapy and menopause
Today, herbal therapies are also being used in the treatment of menopause. The herbs which are currently touted to control many of the symptoms of menopause include:
Phytoestrogens: There are certain vegetable foods that are known to contain phytoestrogens (similar to the female sex hormone-estrogen). There are two main types of phytoestrogens — isoflavones and lignans. Isoflavones have been found in soybeans, chickpeas and peas. Lignans have been found in flaxseeds, whole grains and some fruits and vegetables. Researchers in the Orient first noticed that women in that part of the World had very mild menopausal symptoms and a much lower incidence of heart disease and osteoporosis. It was later discovered that their diet was rich in Phytoestrogens which provided the protective effect. However, addition of isoflavones to western diets has not been found to be effective at least in the short-term and longer term follow up is required. There has also been a concern that high estrogen levels after menopause may be associated with an increased incidence of breast cancer.
So far the data on soy products remains unknown and all reports remain anecdotal. But research on this topic is ongoing.
Vitamin E. Vitamin E has been widely postulated to diminish the symptoms of menopause. Its effects are immediate. However, the reports are scant and the agent only works in a few individuals. As to why it does not work in all women remains a mystery. Some nutritionists recommend higher doses of vitamin E in women who do not respond to the low dose of vitamin E. However, the FDA strongly advises against taking more than 400 IU of this vitamin because of the potential for serous toxicity.
Black cohosh: This herb has been widely used in northern Europe for more than 2 decades and has recently become popular in North America. However, even the European data indicates that it does not work in all women and even today there are no scientific data on its clinical benefits. However, the product is safe. The North American Menopause Society does supports short-term use of black cohosh for treating menopausal symptoms because it seems to have a low risk of side effects when used for up to six months. But the exact effects of long term use are not known. Some recent studies have found that the herb doesn't reduce hot flashes any better than a placebo.
Miscellaneous: There are numerous other dietary supplements available which have been postulated to treat menopausal symptoms- many of the females even swear by it. These products include dong quai, licorice, chasteberry, evening primrose oil and wild yam (natural progesterone cream). Even though these products have been around for more than 2 decades, there is no scientific data to back any of the claims made by the women users or the manufacturers. A few of these products have also been found to contain contaminants and there are even reports of fake products.
Before one starts to take a whole range of products with unknown ingredients and lack of any standardization, be sure to consult your doctor. There definitely are some herbals which are useful but the question is which one. And in the end, like all things in life, buyer beware.
Phytoestrogens: There are certain vegetable foods that are known to contain phytoestrogens (similar to the female sex hormone-estrogen). There are two main types of phytoestrogens — isoflavones and lignans. Isoflavones have been found in soybeans, chickpeas and peas. Lignans have been found in flaxseeds, whole grains and some fruits and vegetables. Researchers in the Orient first noticed that women in that part of the World had very mild menopausal symptoms and a much lower incidence of heart disease and osteoporosis. It was later discovered that their diet was rich in Phytoestrogens which provided the protective effect. However, addition of isoflavones to western diets has not been found to be effective at least in the short-term and longer term follow up is required. There has also been a concern that high estrogen levels after menopause may be associated with an increased incidence of breast cancer.
So far the data on soy products remains unknown and all reports remain anecdotal. But research on this topic is ongoing.
Vitamin E. Vitamin E has been widely postulated to diminish the symptoms of menopause. Its effects are immediate. However, the reports are scant and the agent only works in a few individuals. As to why it does not work in all women remains a mystery. Some nutritionists recommend higher doses of vitamin E in women who do not respond to the low dose of vitamin E. However, the FDA strongly advises against taking more than 400 IU of this vitamin because of the potential for serous toxicity.
Black cohosh: This herb has been widely used in northern Europe for more than 2 decades and has recently become popular in North America. However, even the European data indicates that it does not work in all women and even today there are no scientific data on its clinical benefits. However, the product is safe. The North American Menopause Society does supports short-term use of black cohosh for treating menopausal symptoms because it seems to have a low risk of side effects when used for up to six months. But the exact effects of long term use are not known. Some recent studies have found that the herb doesn't reduce hot flashes any better than a placebo.
Miscellaneous: There are numerous other dietary supplements available which have been postulated to treat menopausal symptoms- many of the females even swear by it. These products include dong quai, licorice, chasteberry, evening primrose oil and wild yam (natural progesterone cream). Even though these products have been around for more than 2 decades, there is no scientific data to back any of the claims made by the women users or the manufacturers. A few of these products have also been found to contain contaminants and there are even reports of fake products.
Before one starts to take a whole range of products with unknown ingredients and lack of any standardization, be sure to consult your doctor. There definitely are some herbals which are useful but the question is which one. And in the end, like all things in life, buyer beware.
Self-care Treatments for Menopausal Females
For most females, menopause is a transient period and the symptoms subside over a period of 1-3 years. However, even this short term period can be tormenting and there are a few steps one can take to reduce the burden of being a female at this time period:
Flashes: For those experiencing hot or cold flashes, exercise regularly and avoid spicy foods, hot beverages (coffee), alcohol and hot surroundings. Dress appropriate to prevent the congested feeling.
Vaginal irritation: Menopause is associated with dryness of the vagina due to the lack of secretions (due to low estrogens). There are numerous over the counter products available that can replace the secretions and even make sexual intercourse enjoyable. The products are available at any pharmacy and include lubricants such as Astroglide, K-Y Jelly, moisturizers (Replens, Vagisil) or vaginal estrogen.
Sleep: Sleep patterns are always altered during menopause and one should avoid aggravating this insomnia with hot beverages and alcohol. One should try relaxation techniques, deep breathing and muscle relaxations. Many books are available on these topics.
Kegel exercise: During menopause, the pelvic floors weaken and one feels like the whole bottom part of the body is sagging. One should learn how to perform Kegel exercises. These important and simple exercises will help you strengthen your pelvic and abdominal muscles. This will go a long ways to improving not only your sex life but also decrease the chance of developing urinary incontinence.
Exercise: When attempting to treat the symptoms of menopause naturally, nutrition and lifestyle changes can be one of your biggest allies. On the surface, aerobic exercise is simply all-around good for you; it helps keep your heart and lungs healthy and can help you to maintain bone density. These things are all the more important when going through menopause.
Exercise cannot prevent menopausal symptoms, but it can certainly help to alleviate the frequency and severity of some symptoms. Beginning and sticking with an exercise program can lessen occurrences of hot flashes, night sweats, insomnia, fatigue, irritability, anxiety, and depression. A moderate level of physical activity throughout the day helps most people to sleep better.
Flashes: For those experiencing hot or cold flashes, exercise regularly and avoid spicy foods, hot beverages (coffee), alcohol and hot surroundings. Dress appropriate to prevent the congested feeling.
Vaginal irritation: Menopause is associated with dryness of the vagina due to the lack of secretions (due to low estrogens). There are numerous over the counter products available that can replace the secretions and even make sexual intercourse enjoyable. The products are available at any pharmacy and include lubricants such as Astroglide, K-Y Jelly, moisturizers (Replens, Vagisil) or vaginal estrogen.
Sleep: Sleep patterns are always altered during menopause and one should avoid aggravating this insomnia with hot beverages and alcohol. One should try relaxation techniques, deep breathing and muscle relaxations. Many books are available on these topics.
Kegel exercise: During menopause, the pelvic floors weaken and one feels like the whole bottom part of the body is sagging. One should learn how to perform Kegel exercises. These important and simple exercises will help you strengthen your pelvic and abdominal muscles. This will go a long ways to improving not only your sex life but also decrease the chance of developing urinary incontinence.
Exercise: When attempting to treat the symptoms of menopause naturally, nutrition and lifestyle changes can be one of your biggest allies. On the surface, aerobic exercise is simply all-around good for you; it helps keep your heart and lungs healthy and can help you to maintain bone density. These things are all the more important when going through menopause.
Exercise cannot prevent menopausal symptoms, but it can certainly help to alleviate the frequency and severity of some symptoms. Beginning and sticking with an exercise program can lessen occurrences of hot flashes, night sweats, insomnia, fatigue, irritability, anxiety, and depression. A moderate level of physical activity throughout the day helps most people to sleep better.
Treatment of Menopause
It is important to remember that menopause itself is a normal part of life, not a condition or disease that requires treatment. However, treatment of some of the symptoms of menopause is possible if they become severe.
One of the most common menopausal treatments in the medical community is hormone therapy, also known as hormone replacement therapy (HRT). HRT, administered orally, consists of the female hormone estrogen, or a combination of estrogens and progesterone. This helps to maintain estrogen levels in the body and can control symptoms of menopause related to the decline of estrogen, such as hot flashes and vaginal dryness.
While an effective treatment method, HRT has been shown to have its risks. Long-term studies of women receiving hormone therapy with both estrogen and progesterone have shown an increased risk for heart attack, stroke, and breast cancer. Estrogen therapy alone has been associated with an increased risk of endometrial cancer.
Similar to HRT, there are also vaginal hormonal treatments available. Sometimes combined with oral estrogen treatments, local (vaginal) treatments include vaginal estrogen creams, tablets, and the vaginal estrogen ring. These treatments carry similar risks to those of oral estrogen treatments.
Oral contraceptive pills can be used as hormone therapy to treat women in the early stages of menopause who are experiencing irregular vaginal bleeding (“spotting” or “breakthrough bleeding”) by regulating menstrual periods. It can also aid in reducing hot flashes and night sweats. It is important to remember that while the pill is a very common prescription, it may not be right for all women, and carries it’s own host of risks. Some of the more serious risks include blood clots, stroke and heart attacks, which are increased if you smoke.
One of the most common menopausal treatments in the medical community is hormone therapy, also known as hormone replacement therapy (HRT). HRT, administered orally, consists of the female hormone estrogen, or a combination of estrogens and progesterone. This helps to maintain estrogen levels in the body and can control symptoms of menopause related to the decline of estrogen, such as hot flashes and vaginal dryness.
While an effective treatment method, HRT has been shown to have its risks. Long-term studies of women receiving hormone therapy with both estrogen and progesterone have shown an increased risk for heart attack, stroke, and breast cancer. Estrogen therapy alone has been associated with an increased risk of endometrial cancer.
Similar to HRT, there are also vaginal hormonal treatments available. Sometimes combined with oral estrogen treatments, local (vaginal) treatments include vaginal estrogen creams, tablets, and the vaginal estrogen ring. These treatments carry similar risks to those of oral estrogen treatments.
Oral contraceptive pills can be used as hormone therapy to treat women in the early stages of menopause who are experiencing irregular vaginal bleeding (“spotting” or “breakthrough bleeding”) by regulating menstrual periods. It can also aid in reducing hot flashes and night sweats. It is important to remember that while the pill is a very common prescription, it may not be right for all women, and carries it’s own host of risks. Some of the more serious risks include blood clots, stroke and heart attacks, which are increased if you smoke.
Bio identical hormones and menopause Part 2
Bioidentical HRT is very useful for women who have undergone hysterectomy. The hormones can be delivered as a patch, pill, cream, gel, or even an injection. Currently there are two basic formulations- one formulation that has a constant dose of estrogen and the other which comes with a varying dose of either estrogen or progesterone. There are even reports of some pharmacists adding testosterone to bioidentical hormones to boost libido.
In the short term, there is no question that bioidentical HRT can help strengthen bone, reduce fractures, improve mood and increase energy. There are many anecdotal reports, which claim that bioidentical HRT can help delay the onset of dementia and maintain cognition.
Bioidentical HRT, however, is not for everyone. Women who have liver disease, a history of blood clots or undiagnosed vaginal bleeding should not take these hormones. The typical side effects of bioidentical HRT include headache, bloating, stomach cramps, diarrhea, anxiety, and breast tenderness.
Because there is always a potential for side effects, all women who do intend to take bioidentical HRT should be followed regularly by a health care professional.
In the short term, there is no question that bioidentical HRT can help strengthen bone, reduce fractures, improve mood and increase energy. There are many anecdotal reports, which claim that bioidentical HRT can help delay the onset of dementia and maintain cognition.
Bioidentical HRT, however, is not for everyone. Women who have liver disease, a history of blood clots or undiagnosed vaginal bleeding should not take these hormones. The typical side effects of bioidentical HRT include headache, bloating, stomach cramps, diarrhea, anxiety, and breast tenderness.
Because there is always a potential for side effects, all women who do intend to take bioidentical HRT should be followed regularly by a health care professional.
Bio identical hormones and menopause
Hormone replacement therapy (HRT) is not a new idea. For more than 30 years, some women who have undergone menopause have taken some type of hormone replacement pill
Menopause is a physiological event in life and at this point in time, the ovaries stop making the natural estrogen and progesterone. The loss of these female sex hormones is associated with a number of disturbing physical and emotional effects. Thirty years ago, a varied combination of estrogen and progesterone were widely used to treat menopause. However, as medicine advanced many physicians became aware of the problems of prescribing sex hormones. Experimental work revealed that long-term use of these hormones led to the development of breast or uterine cancers. Soon many women were left with no treatment except for the occasional estrogen patch
Well we are now back to where we started nearly 40 years ago. Today, there is a lot of hype about bioidentical HRT that are widely sought by many women. Bioidentical hormones are naturally occurring hormones extracted from plants. These hormones were initially easily available without a prescription but the concern for safety led the FDA to introduce a prescription for these plant derived hormones. Bioidentical hormones are available in many formulations. There are even some pharmacies that can tailor the exact dosages of estrogen and progesterone.
Menopause is a physiological event in life and at this point in time, the ovaries stop making the natural estrogen and progesterone. The loss of these female sex hormones is associated with a number of disturbing physical and emotional effects. Thirty years ago, a varied combination of estrogen and progesterone were widely used to treat menopause. However, as medicine advanced many physicians became aware of the problems of prescribing sex hormones. Experimental work revealed that long-term use of these hormones led to the development of breast or uterine cancers. Soon many women were left with no treatment except for the occasional estrogen patch
Well we are now back to where we started nearly 40 years ago. Today, there is a lot of hype about bioidentical HRT that are widely sought by many women. Bioidentical hormones are naturally occurring hormones extracted from plants. These hormones were initially easily available without a prescription but the concern for safety led the FDA to introduce a prescription for these plant derived hormones. Bioidentical hormones are available in many formulations. There are even some pharmacies that can tailor the exact dosages of estrogen and progesterone.
Saturday, April 4, 2009
Varicose Veins during Pregnancy Part 6
What are options for varicose veins that develop during pregnancy?
Over the years, there have been many treatments developed to treat varicose veins. None is 100% percent effective but all work well. Recurrences are common with all present day available treatments. All pregnant females should wait after delivery to have varicose veins treated with surgery. Because many varicose veins disappear spontaneously after child birth, it is important to wait at least 3-6 months before visiting a surgeon.
The available surgical procedures to treat varicose veins include
Surgical Ligation and Stripping: this old method is still useful if one has “large rope” like veins which extend from the groin to the legs. The procedure does require anesthesia and a few days to recover. Surgical ligation does have a few more complication than some of the newer procedures but has the least known recurrence rate
Ligation and stabs: Here the vein is tied off in the groin and small incisions are used to remove the varicosities in other parts of the leg. The procedure does require anesthesia and there is a downtime of a few days. Recurrence is also quite common with this procedure
Ultrasound Guided laser therapy: In the last decade many newer minimally invasive procedures have been developed to treat varicose veins. Essentially a small thin wire is threaded up the vein and vein is heated with Laser or radiofrequency waves. This method can be used treat varicose veins in the thigh area. Because it is an outpatient and fast, almost every physician is now doing it. In fact, many physicians are treating patients with the mildest varicose veins- the reason – lots of money to be made.
The best surgical procedure can only determined by your surgeon and his experience. Before one embarks on vein surgery, read about it and you will know what to expect.
Is Varicose Vein Surgery covered by insurance?
Depends, if one has symptoms of leg swelling, pain, ulcers or clots. If yes, then most medical insurance carriers and Medicare will partly cover the cost of surgery. However, if the surgery is done purely for cosmetic reasons, then cost of the procedure is not covered. The average cost of varicose vein surgery per leg ranges from $ 300-$ 600.
Final Word
For the consumer it is essential to know what procedure your physician will use and whether you have symptoms. Remember this varicose veins (saphenous vein) is frequently used for open heart surgery and for bypasses in the leg. Once this vein has been removed, you will not have another vein to have open heart surgery. Too many physicians are now routinely removing this vein in individuals who could have been treated with compression garments. So all consumers, beware, read about the procedure, and more important, know your physician. While some health care professionals are decent, there are just as many who are interested more in your money than how your leg looks.
Over the years, there have been many treatments developed to treat varicose veins. None is 100% percent effective but all work well. Recurrences are common with all present day available treatments. All pregnant females should wait after delivery to have varicose veins treated with surgery. Because many varicose veins disappear spontaneously after child birth, it is important to wait at least 3-6 months before visiting a surgeon.
The available surgical procedures to treat varicose veins include
Surgical Ligation and Stripping: this old method is still useful if one has “large rope” like veins which extend from the groin to the legs. The procedure does require anesthesia and a few days to recover. Surgical ligation does have a few more complication than some of the newer procedures but has the least known recurrence rate
Ligation and stabs: Here the vein is tied off in the groin and small incisions are used to remove the varicosities in other parts of the leg. The procedure does require anesthesia and there is a downtime of a few days. Recurrence is also quite common with this procedure
Ultrasound Guided laser therapy: In the last decade many newer minimally invasive procedures have been developed to treat varicose veins. Essentially a small thin wire is threaded up the vein and vein is heated with Laser or radiofrequency waves. This method can be used treat varicose veins in the thigh area. Because it is an outpatient and fast, almost every physician is now doing it. In fact, many physicians are treating patients with the mildest varicose veins- the reason – lots of money to be made.
The best surgical procedure can only determined by your surgeon and his experience. Before one embarks on vein surgery, read about it and you will know what to expect.
Is Varicose Vein Surgery covered by insurance?
Depends, if one has symptoms of leg swelling, pain, ulcers or clots. If yes, then most medical insurance carriers and Medicare will partly cover the cost of surgery. However, if the surgery is done purely for cosmetic reasons, then cost of the procedure is not covered. The average cost of varicose vein surgery per leg ranges from $ 300-$ 600.
Final Word
For the consumer it is essential to know what procedure your physician will use and whether you have symptoms. Remember this varicose veins (saphenous vein) is frequently used for open heart surgery and for bypasses in the leg. Once this vein has been removed, you will not have another vein to have open heart surgery. Too many physicians are now routinely removing this vein in individuals who could have been treated with compression garments. So all consumers, beware, read about the procedure, and more important, know your physician. While some health care professionals are decent, there are just as many who are interested more in your money than how your leg looks.
Varicose Veins during Pregnancy Part 5
What will happen if the varicose veins are left untreated during pregnancy?
A few individuals who develop varicose veins during pregnancy will have only cosmetic complains. However, the majority of other individuals will develop complications of varicose veins. Today it is impossible to know who will develop complications and who wont. In general, the longer the varicose veins are in place the greater the chance of complications. The typical complication of long standing varicose veins during pregnancy include:
- Superficial thrombophlebitis – this simply means
that the vein has a blood clot inside. The blood
clot will cause irritation and tenderness of the
vein. The vein will appear red and indurated on
the surface. Most individuals may require a pain
killer, aspirin and warm compress to relieve the
symptoms.
- Bleeding – because varicose veins are engorged
with blood, even the slightest trauma or cut can
cause a fair amount of bleeding. The veins are
under fairly high pressure and bleeding can be
extensive. One simply presses at the site and
the bleeding will stop.
- Skin Dryness is a common feature of long standing
varicose veins
- Skin discoloration will occur in all individuals
if the varicose veins are long standing. The skin
discoloration typically starts around the ankle
and appears dark gray to brown. It is due to
blood leaking out of the vein and into tissues
- Venous Ulceration –when blood leaks out of the
vein, it irritates the tissues and over time,
some individuals develop an ulcer. Venous ulcers
are some of the most difficult ulcers to heal.
Can varicose veins recur after treatment?
Sure, recurrence is very common after treatment. There is no cure for varicose veins. There is no treatment today which can completely get rid of varicose veins. Even when the vein is completely stripped and removed, some minor branches may remain and develop into varicosities. Some individuals develop multiple spider veins which keep on recurring. To prevent varicose veins from coming back after treatment, one should wear compression stockings
Can varicose veins be treated with sclerotherapy?
Sclerotherapy is only useful for the minute spider veins. Varicose veins in pregnancy are too large to be injected with the sclerosant.
A few individuals who develop varicose veins during pregnancy will have only cosmetic complains. However, the majority of other individuals will develop complications of varicose veins. Today it is impossible to know who will develop complications and who wont. In general, the longer the varicose veins are in place the greater the chance of complications. The typical complication of long standing varicose veins during pregnancy include:
- Superficial thrombophlebitis – this simply means
that the vein has a blood clot inside. The blood
clot will cause irritation and tenderness of the
vein. The vein will appear red and indurated on
the surface. Most individuals may require a pain
killer, aspirin and warm compress to relieve the
symptoms.
- Bleeding – because varicose veins are engorged
with blood, even the slightest trauma or cut can
cause a fair amount of bleeding. The veins are
under fairly high pressure and bleeding can be
extensive. One simply presses at the site and
the bleeding will stop.
- Skin Dryness is a common feature of long standing
varicose veins
- Skin discoloration will occur in all individuals
if the varicose veins are long standing. The skin
discoloration typically starts around the ankle
and appears dark gray to brown. It is due to
blood leaking out of the vein and into tissues
- Venous Ulceration –when blood leaks out of the
vein, it irritates the tissues and over time,
some individuals develop an ulcer. Venous ulcers
are some of the most difficult ulcers to heal.
Can varicose veins recur after treatment?
Sure, recurrence is very common after treatment. There is no cure for varicose veins. There is no treatment today which can completely get rid of varicose veins. Even when the vein is completely stripped and removed, some minor branches may remain and develop into varicosities. Some individuals develop multiple spider veins which keep on recurring. To prevent varicose veins from coming back after treatment, one should wear compression stockings
Can varicose veins be treated with sclerotherapy?
Sclerotherapy is only useful for the minute spider veins. Varicose veins in pregnancy are too large to be injected with the sclerosant.
Varicose Veins during Pregnancy Part 4
Are varicose veins during pregnancy serious?
No, in most cases, the varicose vein during pregnancy are a cosmetic nuisance. However, as pregnancy progresses, the following symptoms may occur:
- Itching around the ankle
- Dry skin
- Skin discoloration which is more prominent around
the ankles
- Development of ulcers on inside of the ankles
(usually after long standing varicose veins)
- swelling of ankle and feet
- development of blood clots (these are different
from blood clots in the deep veins and are not life
threatening)
- redness of leg
- pain along the varicosity
- infection of vein
Do varicose veins develop clots during pregnancy?
Yes, varicose veins do develop blood clots. However, unlike blood clots in deep veins, these clots very rarely break off and move to the lungs. In the majority of cases the blood clot in the varicose veins will remain in the vein and disappear with time. The blood clot will cause mild tenderness (because it irritates the nerves). Blood clots in varicose veins do not need any blood thinning medications. Aspirin will suffice or better still- wear compression stockings.
How can I prevent varicose veins during pregnancy?
Because there is no ideal treatment for varicose veins, prevention is the best way to approach varicose veins. When one is planning a pregnancy or has just gotten pregnant, start to wear compression stockings. Stockings are best treatment for varicose veins. While they are cumbersome to wear during pregnancy, they can prevent varicose veins, limit swelling, maintain shape, and preserve the smooth cosmetic features of the extremities.
Other steps one can take to prevent varicose veins during pregnancy include
- exercise daily. At least walk for 30 minutes
twice a day. Walking stimulates muscles in the
legs which will squeeze the blood away from the
legs and to the heart
- When resting try and keep the legs elevated at
all times
- When sleeping, place a couple of pillows underneath
the legs and maintain leg elevation for the duration
of pregnancy
- When sleeping during pregnancy, avoid sleeping on
the back. Sleep on the left side because this will
prevent the fetus from compression large veins
in the pelvis
- Avoid standing around for long periods. If you do
have a job that requires prolonged standing, wear
compression stockings every day
- When lying down, do not cross the legs. The pressure
from one leg can easily block superficial veins in
the legs
- Make it a habit of wearing compression stockings
regularly
- Control your weight because varicose veins tend to
be more common in individuals who gain weight
- Avoid wearing tight garments around the abdomen and
groin area
- Eat a diet with low sodium because sodium does have
a habit of retaining fluids
No, in most cases, the varicose vein during pregnancy are a cosmetic nuisance. However, as pregnancy progresses, the following symptoms may occur:
- Itching around the ankle
- Dry skin
- Skin discoloration which is more prominent around
the ankles
- Development of ulcers on inside of the ankles
(usually after long standing varicose veins)
- swelling of ankle and feet
- development of blood clots (these are different
from blood clots in the deep veins and are not life
threatening)
- redness of leg
- pain along the varicosity
- infection of vein
Do varicose veins develop clots during pregnancy?
Yes, varicose veins do develop blood clots. However, unlike blood clots in deep veins, these clots very rarely break off and move to the lungs. In the majority of cases the blood clot in the varicose veins will remain in the vein and disappear with time. The blood clot will cause mild tenderness (because it irritates the nerves). Blood clots in varicose veins do not need any blood thinning medications. Aspirin will suffice or better still- wear compression stockings.
How can I prevent varicose veins during pregnancy?
Because there is no ideal treatment for varicose veins, prevention is the best way to approach varicose veins. When one is planning a pregnancy or has just gotten pregnant, start to wear compression stockings. Stockings are best treatment for varicose veins. While they are cumbersome to wear during pregnancy, they can prevent varicose veins, limit swelling, maintain shape, and preserve the smooth cosmetic features of the extremities.
Other steps one can take to prevent varicose veins during pregnancy include
- exercise daily. At least walk for 30 minutes
twice a day. Walking stimulates muscles in the
legs which will squeeze the blood away from the
legs and to the heart
- When resting try and keep the legs elevated at
all times
- When sleeping, place a couple of pillows underneath
the legs and maintain leg elevation for the duration
of pregnancy
- When sleeping during pregnancy, avoid sleeping on
the back. Sleep on the left side because this will
prevent the fetus from compression large veins
in the pelvis
- Avoid standing around for long periods. If you do
have a job that requires prolonged standing, wear
compression stockings every day
- When lying down, do not cross the legs. The pressure
from one leg can easily block superficial veins in
the legs
- Make it a habit of wearing compression stockings
regularly
- Control your weight because varicose veins tend to
be more common in individuals who gain weight
- Avoid wearing tight garments around the abdomen and
groin area
- Eat a diet with low sodium because sodium does have
a habit of retaining fluids
Varicose Veins during Pregnancy Part 3
Who develops varicose veins during pregnancy?
Varicose veins generally occur in most pregnant women, but there are some risk factors. If the female gains a lot of weight, is obese, stands for prolonged periods, or has had trauma to the leg, then varicose veins are more likely.
Varicose veins are also more common in women who take the birth control pill. Estrogen has been shown to weaken walls of the veins. Multiple pregnancies are also associated with varicose vein development. In most cases of multiple pregnancies, varicose veins generally get worse and most individuals become symptomatic.
What are symptoms of varicose veins during pregnancy?
The first and most obvious side effects is cosmesis. Varicose veins are not glamorous to look at. Secondly when varicose veins get very large they also cause feet to swell. A common complaint is tiredness and fatigue in the legs. Thirdly, as the various veins increase in size, they become hard and “rope like”. Often the varicose veins are tender to touch. Finally, if varicose veins are of long standing, most individuals will develop bluish or grayish discoloration around the ankles. This is chiefly due to the blood pigment leaking out of thin veins and into the tissues. At this stage in time, the color discoloration round the ankle is irreversible.
How does one make a diagnosis of varicose veins during pregnancy?
A simple physical examination is adequate. If the physician is competent, there should be no other studies indicated. When the varicose veins are extensive and surgical treatment is planned, the use of Doppler ultrasound may help reveal where the problem is. Ultrasound can also reveal presence of blood clots and leaky valves in the system. Ultrasound is a painless test and very effective in making a diagnosis of blood clots in the veins..
How does one treat varicose veins of the vulva?
There is absolutely no need to treat vulvar varicose veins during pregnancy. Once the baby has been delivered, almost all cases of vulvar varicosity subside with time. Any time a physician recommends treatment of vulvar varicosities means that he/she has only one concern in his mind- your money. After delivery, one must wait at least 6-12 weeks for the varicosities to disappear- and they do disappear. To further improve the varicose veins, lose weight, walk, and wear compression stockings. Surgery is never a choice for vulvar varicosities and even when undertaken the results are worse than the initial condition.
Varicose veins generally occur in most pregnant women, but there are some risk factors. If the female gains a lot of weight, is obese, stands for prolonged periods, or has had trauma to the leg, then varicose veins are more likely.
Varicose veins are also more common in women who take the birth control pill. Estrogen has been shown to weaken walls of the veins. Multiple pregnancies are also associated with varicose vein development. In most cases of multiple pregnancies, varicose veins generally get worse and most individuals become symptomatic.
What are symptoms of varicose veins during pregnancy?
The first and most obvious side effects is cosmesis. Varicose veins are not glamorous to look at. Secondly when varicose veins get very large they also cause feet to swell. A common complaint is tiredness and fatigue in the legs. Thirdly, as the various veins increase in size, they become hard and “rope like”. Often the varicose veins are tender to touch. Finally, if varicose veins are of long standing, most individuals will develop bluish or grayish discoloration around the ankles. This is chiefly due to the blood pigment leaking out of thin veins and into the tissues. At this stage in time, the color discoloration round the ankle is irreversible.
How does one make a diagnosis of varicose veins during pregnancy?
A simple physical examination is adequate. If the physician is competent, there should be no other studies indicated. When the varicose veins are extensive and surgical treatment is planned, the use of Doppler ultrasound may help reveal where the problem is. Ultrasound can also reveal presence of blood clots and leaky valves in the system. Ultrasound is a painless test and very effective in making a diagnosis of blood clots in the veins..
How does one treat varicose veins of the vulva?
There is absolutely no need to treat vulvar varicose veins during pregnancy. Once the baby has been delivered, almost all cases of vulvar varicosity subside with time. Any time a physician recommends treatment of vulvar varicosities means that he/she has only one concern in his mind- your money. After delivery, one must wait at least 6-12 weeks for the varicosities to disappear- and they do disappear. To further improve the varicose veins, lose weight, walk, and wear compression stockings. Surgery is never a choice for vulvar varicosities and even when undertaken the results are worse than the initial condition.
Varicose Veins during Pregnancy Part 2
Why do varicose veins occur in pregnancy?
The exact cause of varicose veins in pregnancy is unknown but are strongly associated with high pressure developed in the abdomen. The superficial veins from the legs carry blood forward to the heart. These veins also have valves to prevent the blood from flowing backwards. When these veins are blocked (by the fetus), they get engorged and become prominent. It is also believed that during pregnancy, valves in the vein become thin and dysfunctional, thus causing leakage of blood back into the thin veins.
While weight gain during pregnancy is also a factor in development of varicose veins, many thin women also develop varicose veins. The female sex hormone, estrogen, is believed to weaken wall of the veins and causes them to get engorged with blood.
Why does one develop varicose veins only in the legs and vaginal area?
Varicose veins occur more commonly in the legs during pregnancy,. Some females may also develop large bluish varicose veins on the vulva and vagina. The reason for this is fetus most likely lying on top of the veins and preventing the blood moving forward. When the vein is obstructed, it starts to engorge itself with blood. That is why pregnant women are encouraged to sleep on their sides to prevent the fetus from blocking these superficial veins. In some cases, the fetus may be lying very low in the pelvis and presses down over the groin; when this occurs varicosities in the vaginal area do become prominent. When a female has varicose veins of the vaginal area, she will almost always have varicose veins in the legs.
Do varicose veins resolve during pregnancy?
No, in most cases varicose veins that develop during pregnancy generally get worse until the baby is delivered.. Until the baby is delivered, the varicose veins usually get bigger, become more itchy and slightly tender. Most women complain of extreme fatigue in their legs when the varicose veins become large. in more than 80% of cases, the moment the child is delivered the varicosities subside immediately. If a female has had varicose veins during the first pregnancy, there is a great probability that they may occur in subsequent pregnancies.
The exact cause of varicose veins in pregnancy is unknown but are strongly associated with high pressure developed in the abdomen. The superficial veins from the legs carry blood forward to the heart. These veins also have valves to prevent the blood from flowing backwards. When these veins are blocked (by the fetus), they get engorged and become prominent. It is also believed that during pregnancy, valves in the vein become thin and dysfunctional, thus causing leakage of blood back into the thin veins.
While weight gain during pregnancy is also a factor in development of varicose veins, many thin women also develop varicose veins. The female sex hormone, estrogen, is believed to weaken wall of the veins and causes them to get engorged with blood.
Why does one develop varicose veins only in the legs and vaginal area?
Varicose veins occur more commonly in the legs during pregnancy,. Some females may also develop large bluish varicose veins on the vulva and vagina. The reason for this is fetus most likely lying on top of the veins and preventing the blood moving forward. When the vein is obstructed, it starts to engorge itself with blood. That is why pregnant women are encouraged to sleep on their sides to prevent the fetus from blocking these superficial veins. In some cases, the fetus may be lying very low in the pelvis and presses down over the groin; when this occurs varicosities in the vaginal area do become prominent. When a female has varicose veins of the vaginal area, she will almost always have varicose veins in the legs.
Do varicose veins resolve during pregnancy?
No, in most cases varicose veins that develop during pregnancy generally get worse until the baby is delivered.. Until the baby is delivered, the varicose veins usually get bigger, become more itchy and slightly tender. Most women complain of extreme fatigue in their legs when the varicose veins become large. in more than 80% of cases, the moment the child is delivered the varicosities subside immediately. If a female has had varicose veins during the first pregnancy, there is a great probability that they may occur in subsequent pregnancies.
Varicose Veins during Pregnancy
What are varicose veins?
Everyone has superficial veins in the legs. When these superficial veins get engorged with blood and appear blue, they are known as varicose veins. Varicose veins are most common on inside of the thigh and all along the leg up to the ankle. Varicose veins in general are harmless and in most cases are of a cosmetic nuisance.
Unlike the deep veins, blood clots in varicose veins are not of any concern. Women do not like varicose veins because they appear unattractive.
Varicose veins do become prominent in pregnancy chiefly because of the weight gain and also the growing fetus placing pressure on the superficial veins. Most women begin to show signs of varicose veins in the 2nd trimester.
Are Varicose veins during pregnancy permanent?
Not in all cases. Once the baby is delivered, there will be a dramatic relief in the varicose veins. However, at least 30% of women will have mild varicose veins left behind which will not go away. Further, some women may also develop spider veins around the thigh and buttock area.
How common are varicose veins during pregnancy?
During the first pregnancy, at least 30% of women will develop mild to moderate degree of varicose veins. With subsequent pregnancies, almost 50-80% of women will develop varicose veins. The varicose veins generally occur in the thigh and leg area. In some women, the varicose vein may also occur on the vagina, vulva, and groin area.
Where else can varicose veins develop?
Besides the legs, varicose veins are rare elsewhere in the body. Both hemorrhoids and Varicocele are other examples of varicose veins. Women who develop varicose veins during pregnancy are also more prone to hemorrhoids.
Everyone has superficial veins in the legs. When these superficial veins get engorged with blood and appear blue, they are known as varicose veins. Varicose veins are most common on inside of the thigh and all along the leg up to the ankle. Varicose veins in general are harmless and in most cases are of a cosmetic nuisance.
Unlike the deep veins, blood clots in varicose veins are not of any concern. Women do not like varicose veins because they appear unattractive.
Varicose veins do become prominent in pregnancy chiefly because of the weight gain and also the growing fetus placing pressure on the superficial veins. Most women begin to show signs of varicose veins in the 2nd trimester.
Are Varicose veins during pregnancy permanent?
Not in all cases. Once the baby is delivered, there will be a dramatic relief in the varicose veins. However, at least 30% of women will have mild varicose veins left behind which will not go away. Further, some women may also develop spider veins around the thigh and buttock area.
How common are varicose veins during pregnancy?
During the first pregnancy, at least 30% of women will develop mild to moderate degree of varicose veins. With subsequent pregnancies, almost 50-80% of women will develop varicose veins. The varicose veins generally occur in the thigh and leg area. In some women, the varicose vein may also occur on the vagina, vulva, and groin area.
Where else can varicose veins develop?
Besides the legs, varicose veins are rare elsewhere in the body. Both hemorrhoids and Varicocele are other examples of varicose veins. Women who develop varicose veins during pregnancy are also more prone to hemorrhoids.
Friday, April 3, 2009
Use of Testosterone to boost sex drive in women Part 2
Testosterone therapy should not be given unopposed. It should be combined with estrogen. Most experts in the field recommend only testosterone therapy for women who have sufficient levels of estrogen. Testosterone therapy is not recommended in any female who has very low levels of estrogen or is unable to take estrogens. Further testosterone therapy should not be administered to post menopausal women who have a history of breast or uterine cancer. Other females who have relative contraindications to testosterone therapy are those with heart or liver disease.
Today, testosterone is available in various formulations including foam, gel, paste, pill, or injection. Despite the fact that testosterone has been available for more than 60 years, there are no long term studies of this male hormone in females.
Some of the most common side effects of testosterone in females include oily skin, acne and excess facial hair. Other less common side effects include deepening of voice, enlargement of clitoris, risk of heart disease, behavioral changes (anger, depression) and personality changes.
While most of these side effects are transient and disappear when the hormone is stopped, voice deepening and clitoral enlargement may be permanent
For a female who has low libido and no reasons to explain it, perhaps a short course of testosterone may help. However, always ensure that you are under the guidance of a professional who is knowledgeable about these hormones. For those who want a safer sex stimulant- try Viagra.
Today, testosterone is available in various formulations including foam, gel, paste, pill, or injection. Despite the fact that testosterone has been available for more than 60 years, there are no long term studies of this male hormone in females.
Some of the most common side effects of testosterone in females include oily skin, acne and excess facial hair. Other less common side effects include deepening of voice, enlargement of clitoris, risk of heart disease, behavioral changes (anger, depression) and personality changes.
While most of these side effects are transient and disappear when the hormone is stopped, voice deepening and clitoral enlargement may be permanent
For a female who has low libido and no reasons to explain it, perhaps a short course of testosterone may help. However, always ensure that you are under the guidance of a professional who is knowledgeable about these hormones. For those who want a safer sex stimulant- try Viagra.
Use of Testosterone to boost sex drive in women
Recently there has been a lot of talk about bioidentical hormones and how they can improve lives of women. women now want to take extra hormones to treat a varying number of physical and emotional problems. Another related topic is the use of testosterone to improve libido in women entering menopause or who are post menopausal.
Testosterone is a male sex hormone and is important for development of male secondary sexual characteristics. Testosterone is also made in small amounts by the female and it plays a complex role in sexual enhancement. However, as such, testosterone does not have properties of an aphrodisiac nor it a sex stimulant. Men have been taking anabolic steroids and other testosterone products for decades and do not always have an increased sex drive; in fact in many cases, there is a loss of libido.
Women can have a low sex drive for many reasons and simply taking testosterone is not always the answer. The low sex drive in a menopausal female may be due to other declining levels of female sex hormonal, emotional problems, and physical changes like vaginal dryness, depression, or lack of a loving spouse.
In both men and women, levels of testosterone do decline with age. In females, the declining testosterone level with age is much more gradual than what is seen in men. More significant decline of testosterone levels in females are seen after a total hysterectomy and oophrectomy (removal of ovaries). In women who experience low sex drive after surgical removal of the ovary, perhaps one should first start with low dose estrogen therapy. Only if the estrogen therapy is not effective should low dose testosterone therapy be initiated. There are also some women who have a low sex drive but no cause can be identified. In such women, one may want to try low dose testosterone therapy. how long to continue low dose testosterone therapy in a female is unknown but should not be long term. If the testosterone works, the increase in libido is not instant but gradual over a few weeks.
Testosterone is a male sex hormone and is important for development of male secondary sexual characteristics. Testosterone is also made in small amounts by the female and it plays a complex role in sexual enhancement. However, as such, testosterone does not have properties of an aphrodisiac nor it a sex stimulant. Men have been taking anabolic steroids and other testosterone products for decades and do not always have an increased sex drive; in fact in many cases, there is a loss of libido.
Women can have a low sex drive for many reasons and simply taking testosterone is not always the answer. The low sex drive in a menopausal female may be due to other declining levels of female sex hormonal, emotional problems, and physical changes like vaginal dryness, depression, or lack of a loving spouse.
In both men and women, levels of testosterone do decline with age. In females, the declining testosterone level with age is much more gradual than what is seen in men. More significant decline of testosterone levels in females are seen after a total hysterectomy and oophrectomy (removal of ovaries). In women who experience low sex drive after surgical removal of the ovary, perhaps one should first start with low dose estrogen therapy. Only if the estrogen therapy is not effective should low dose testosterone therapy be initiated. There are also some women who have a low sex drive but no cause can be identified. In such women, one may want to try low dose testosterone therapy. how long to continue low dose testosterone therapy in a female is unknown but should not be long term. If the testosterone works, the increase in libido is not instant but gradual over a few weeks.
Saturday, March 21, 2009
What is the best method of birth control? Part 2
Intrauterine devices have been around for decades and are quite effective. They can remain in the body for up to 5-10 years. Both the Paragard and Mirena work well and have a 95-99% success rate. The Mirena also releases tiny amounts of progestin into the body and prevents the egg from adhering to the uterine wall. Another method of oral contraception is the Implanon-which is a tiny bullet that is placed in the arm underneath the skin. This device releases low amount of progestin that prevents pregnancy. It lasts about 3 years.
There are countless hormonal methods to prevent pregnancy. Oral contraceptive pills have been around for more than 50 years and do work well. There are also patches (OrthoEvra), rings (Nuva Ring) and long-term Depo provera injections. These work 90-95% of the time.
Other ways to prevent conception include the condoms like the Today Sponge and a Diaphragm. They do work if you use them properly. These methods are often combined with spermicides and jellies.
Overall, the least effective method of birth control is to use natural family planning, temperate based methods, cervical caps (FemCap) and spermicidies (available as foams, cream, jellies, and suppositories.
The best method depends on what you want, your age, your marital status and whether you want to have children in future. One thing to be understood- the responsibility for contraception rests on both partners. For more on birth control, it is best to discuss the topic with your health care provider.
The best and one hundred effective method of birth control is to abstain from sex- great idea but unfortunately a very hard promise to keep.
There are countless hormonal methods to prevent pregnancy. Oral contraceptive pills have been around for more than 50 years and do work well. There are also patches (OrthoEvra), rings (Nuva Ring) and long-term Depo provera injections. These work 90-95% of the time.
Other ways to prevent conception include the condoms like the Today Sponge and a Diaphragm. They do work if you use them properly. These methods are often combined with spermicides and jellies.
Overall, the least effective method of birth control is to use natural family planning, temperate based methods, cervical caps (FemCap) and spermicidies (available as foams, cream, jellies, and suppositories.
The best method depends on what you want, your age, your marital status and whether you want to have children in future. One thing to be understood- the responsibility for contraception rests on both partners. For more on birth control, it is best to discuss the topic with your health care provider.
The best and one hundred effective method of birth control is to abstain from sex- great idea but unfortunately a very hard promise to keep.
What is the best method of birth control?
Well, this is a very difficult question. Of all the methods available today for birth control, none of them is 100 percent effective. In the majority of cases, it depends on the individual and how he or she practices using that method. For example, if you have condoms at home and the urge to have sex is so great that you forget to use the condom, then one cannot blame the condom if you get pregnant! Same goes for every other method- if you use the methods well, you get the results.
However, even if you use any method of birth control, none can guarantee 100 percent that you will not get pregnant. For example, if your boyfriend has a small penis and you get him the fancy large red/black ribbed condom to jive up the mood, well- it will not work. The condom has to fit properly. There are countless reports that many people still do not know how to use a condom properly
There are a number of permanent methods of birth control for both males and females. For men, vasectomy can be performed very easily through a very small incision. The procedure simply involves cutting off the vas deferens – a tube that carries sperm into the penis. For women there is tubal ligation. The tubes can be clipped, blocked or narrowed down by a variety of methods. Today, there is a method called Essure for women, where a small flexible metallic wire is placed in the tubes, this immediately causes severe adhesions, and the tubes get blocked
With all the above methods of sterilization, one should give it a lot of thought. These methods are very hard to reverse (despite what the doctors claim) and the reversal process can cost a fortune.
However, even if you use any method of birth control, none can guarantee 100 percent that you will not get pregnant. For example, if your boyfriend has a small penis and you get him the fancy large red/black ribbed condom to jive up the mood, well- it will not work. The condom has to fit properly. There are countless reports that many people still do not know how to use a condom properly
There are a number of permanent methods of birth control for both males and females. For men, vasectomy can be performed very easily through a very small incision. The procedure simply involves cutting off the vas deferens – a tube that carries sperm into the penis. For women there is tubal ligation. The tubes can be clipped, blocked or narrowed down by a variety of methods. Today, there is a method called Essure for women, where a small flexible metallic wire is placed in the tubes, this immediately causes severe adhesions, and the tubes get blocked
With all the above methods of sterilization, one should give it a lot of thought. These methods are very hard to reverse (despite what the doctors claim) and the reversal process can cost a fortune.
Monday, March 16, 2009
Health Supplements and Menopause
Menopause is a difficult time and associated with mood swing and even depression. Some do not even like to eat or eat an unhealthy diet. For those individuals, supplements may be necessary. During menopause, getting sufficient levels of these can make a significant difference in having healthy bones and controlling symptoms of menopause. Of the supplements, most physicians recommend Vitamins C, D and E. However, one should realize that if is eating a healthy whole some diet with a decent amount of fruit and vegetables, the why bother to take an artificial pill- which may sometimes be fake or may even contain contaminants.
Before one goes on a mega Vitamin supplement diet, it is essential to see a dietician to supervise the initial phase of dietary manipulation. Large doses of calcium or vitamins have serious side effects. Vitamins A and D in large doses can be particularly dangerous.
As menopause sets in, women realize that they have less energy and have a decline in their physical activity and also a loss of lean body mass. To avoid the ravages of age and, hormonal changes of menopause, one should start some type of physical activity.
Walking, swimming and even light jogging may be a start the important thing is not to allow the access weight of menopause to continue. There are numerous drugs for weight loss but definitely not recommended. They have far too many potent side effects. The most important is to resume some activity. In the end, a healthy body always represents a healthy mind.
Before one goes on a mega Vitamin supplement diet, it is essential to see a dietician to supervise the initial phase of dietary manipulation. Large doses of calcium or vitamins have serious side effects. Vitamins A and D in large doses can be particularly dangerous.
As menopause sets in, women realize that they have less energy and have a decline in their physical activity and also a loss of lean body mass. To avoid the ravages of age and, hormonal changes of menopause, one should start some type of physical activity.
Walking, swimming and even light jogging may be a start the important thing is not to allow the access weight of menopause to continue. There are numerous drugs for weight loss but definitely not recommended. They have far too many potent side effects. The most important is to resume some activity. In the end, a healthy body always represents a healthy mind.
Nutrition and Menopause
Everyone agrees that a well balanced diet is essential for good health and this is especially true when it comes to menopause. However, the exact nutritional requirement for the menopausal female are varied and change with age. Some of the basic essential nutrients should include:
Calcium: A healthy premenopausal woman should have about 1,000 mgs of calcium per day. A 1994 Consensus Conference at the National Institutes of Health recommended that women after menopause consume 1,500 mgs per day if they are not using hormonal replacement or 1,000 mgs per day in conjunction with hormonal replacement. Foods which are high in calcium include milk, yogurt, cheese, some sea food products and dark green leafy vegetables (spinach and broccoli). Calcium is also available as a pill or a powder and is easily absorbed from the gut. For those who have milk intolerance, acidophilus milk is more tolerable.
Vitamins D: This bone forming vitamin is now becoming an important additive for all women nearing menopause. It enhances calcium absorption and helps to strengthen bone. Numerous studies have shown that post menopausal women who take Vitamin D have a lower incidence of spinal fractures and joint pains. Other studies reveal that vitamin D consumption is associated with a marked decrease in bone pain. However, these issues remain controversial because not all patients demonstrate the same benefit. One also has to be aware that excess consumption of vitamin D can lead to formation of kidney stones, constipation, abdominal pain and even bone pain.
Low fat diet: Most dieticians and physicians indicate that an overall healthy diet for the menopausal female should consists of foods with low fat and less saturated fat. This diet is ideal not only for menopausal females but overall good health. The fat intake should be less than 30% of the daily calories
Vegetables: Eating fruits, vegetables, and whole grain cereal products, especially those high in vitamin C and carotene are absolutely vital for obtaining all the essential nutrients for bone growth. Other plants foods highly recommended include oranges, grapefruit, carrots, winter squash, tomatoes, broccoli, cauliflower, and green leafy vegetables. These foods are good sources of vitamins and minerals and the major sources of dietary fiber. The increased fiber content not only helps with constipation but is associated with a decrease in colon cancer. Menopausal females are encouraged to consume 20 to 30 grams of fiber per day.
Meat: We have come to realize that meat and meat like products are fun to eat but not good for health. These products have been associated with numerous health problems, including blood pressure, obesity, heart disease and colon cancer. They do not contain any essential nutrients for bone growth
Calcium: A healthy premenopausal woman should have about 1,000 mgs of calcium per day. A 1994 Consensus Conference at the National Institutes of Health recommended that women after menopause consume 1,500 mgs per day if they are not using hormonal replacement or 1,000 mgs per day in conjunction with hormonal replacement. Foods which are high in calcium include milk, yogurt, cheese, some sea food products and dark green leafy vegetables (spinach and broccoli). Calcium is also available as a pill or a powder and is easily absorbed from the gut. For those who have milk intolerance, acidophilus milk is more tolerable.
Vitamins D: This bone forming vitamin is now becoming an important additive for all women nearing menopause. It enhances calcium absorption and helps to strengthen bone. Numerous studies have shown that post menopausal women who take Vitamin D have a lower incidence of spinal fractures and joint pains. Other studies reveal that vitamin D consumption is associated with a marked decrease in bone pain. However, these issues remain controversial because not all patients demonstrate the same benefit. One also has to be aware that excess consumption of vitamin D can lead to formation of kidney stones, constipation, abdominal pain and even bone pain.
Low fat diet: Most dieticians and physicians indicate that an overall healthy diet for the menopausal female should consists of foods with low fat and less saturated fat. This diet is ideal not only for menopausal females but overall good health. The fat intake should be less than 30% of the daily calories
Vegetables: Eating fruits, vegetables, and whole grain cereal products, especially those high in vitamin C and carotene are absolutely vital for obtaining all the essential nutrients for bone growth. Other plants foods highly recommended include oranges, grapefruit, carrots, winter squash, tomatoes, broccoli, cauliflower, and green leafy vegetables. These foods are good sources of vitamins and minerals and the major sources of dietary fiber. The increased fiber content not only helps with constipation but is associated with a decrease in colon cancer. Menopausal females are encouraged to consume 20 to 30 grams of fiber per day.
Meat: We have come to realize that meat and meat like products are fun to eat but not good for health. These products have been associated with numerous health problems, including blood pressure, obesity, heart disease and colon cancer. They do not contain any essential nutrients for bone growth
Herbal therapy and menopause
Today, herbal therapies are also being used in the treatment of menopause. The herbs which are currently touted to control many of the symptoms of menopause include:
Phytoestrogens: There are certain vegetable foods that are known to contain phytoestrogens (similar to the female sex hormone-estrogen). There are two main types of phytoestrogens — isoflavones and lignans. Isoflavones have been found in soybeans, chickpeas and peas. Lignans have been found in flaxseeds, whole grains and some fruits and vegetables.
Researchers in the Orient first noticed that women in that part of the World had very mild menopausal symptoms and a much lower incidence of heart disease and osteoporosis. It was later discovered that their diet was rich in Phytoestrogens which provided the protective effect. However, addition of isoflavones to western diets has not been found to be effective at least in the short-term and longer term follow up is required. There has also been a concern that high estrogen levels after menopause may be associated with an increased incidence of breast cancer.
So far the data on soy products remains unknown and all reports remain anecdotal. But research on this topic is ongoing.
Vitamin E has been widely postulated to diminish the symptoms of menopause. Its effects are immediate. However, the reports are scant and the agent only works in a few individuals. As to why it does not work in all women remains a mystery. Some nutritionists recommend higher doses of vitamin E in women who do not respond to the low dose of vitamin E. However, the FDA strongly advises against taking more than 400 IU of this vitamin because of the potential for serous toxicity.
Black cohosh: This herb has been widely used in northern Europe for more than 2 decades and has recently become popular in North America. However, even the European data indicates that it does not work in all women and even today there are no scientific data on its clinical benefits. However, the product is safe. The North American Menopause Society does supports short-term use of black cohosh for treating menopausal symptoms because it seems to have a low risk of side effects when used for up to six months. But the exact effects of long term use are not known. Some recent studies have found that the herb doesn't reduce hot flashes any better than a placebo.
Miscellaneous: There are numerous other dietary supplements available which have been postulated to treat menopausal symptoms- many of the females even swear by it. These products include dong quai, licorice, chasteberry, evening primrose oil and wild yam (natural progesterone cream). Even though these products have been around for more than 2 decades, there is no scientific data to back any of the claims made by the women users or the manufacturers. A few of these products have also been found to contain contaminants and there are even reports of fake products.
Before one starts to take a whole range of products with unknown ingredients and lack of any standardization, be sure to consult your doctor. There definitely are some herbals which are useful but the question is which one. And in the end, like all things in life, buyer beware.
Phytoestrogens: There are certain vegetable foods that are known to contain phytoestrogens (similar to the female sex hormone-estrogen). There are two main types of phytoestrogens — isoflavones and lignans. Isoflavones have been found in soybeans, chickpeas and peas. Lignans have been found in flaxseeds, whole grains and some fruits and vegetables.
Researchers in the Orient first noticed that women in that part of the World had very mild menopausal symptoms and a much lower incidence of heart disease and osteoporosis. It was later discovered that their diet was rich in Phytoestrogens which provided the protective effect. However, addition of isoflavones to western diets has not been found to be effective at least in the short-term and longer term follow up is required. There has also been a concern that high estrogen levels after menopause may be associated with an increased incidence of breast cancer.
So far the data on soy products remains unknown and all reports remain anecdotal. But research on this topic is ongoing.
Vitamin E has been widely postulated to diminish the symptoms of menopause. Its effects are immediate. However, the reports are scant and the agent only works in a few individuals. As to why it does not work in all women remains a mystery. Some nutritionists recommend higher doses of vitamin E in women who do not respond to the low dose of vitamin E. However, the FDA strongly advises against taking more than 400 IU of this vitamin because of the potential for serous toxicity.
Black cohosh: This herb has been widely used in northern Europe for more than 2 decades and has recently become popular in North America. However, even the European data indicates that it does not work in all women and even today there are no scientific data on its clinical benefits. However, the product is safe. The North American Menopause Society does supports short-term use of black cohosh for treating menopausal symptoms because it seems to have a low risk of side effects when used for up to six months. But the exact effects of long term use are not known. Some recent studies have found that the herb doesn't reduce hot flashes any better than a placebo.
Miscellaneous: There are numerous other dietary supplements available which have been postulated to treat menopausal symptoms- many of the females even swear by it. These products include dong quai, licorice, chasteberry, evening primrose oil and wild yam (natural progesterone cream). Even though these products have been around for more than 2 decades, there is no scientific data to back any of the claims made by the women users or the manufacturers. A few of these products have also been found to contain contaminants and there are even reports of fake products.
Before one starts to take a whole range of products with unknown ingredients and lack of any standardization, be sure to consult your doctor. There definitely are some herbals which are useful but the question is which one. And in the end, like all things in life, buyer beware.
Self-care Treatments for Menopausal Females
For most females, menopause is a transient period and the symptoms subside over a period of 1-3 years. However, even this short term period can be tormenting and there are a few steps one can take to reduce the burden of being a female at this time period:
Flashes: For those experiencing hot or cold flashes, exercise regularly and avoid spicy foods, hot beverages (coffee), alcohol and hot surroundings. Dress appropriate to prevent the congested feeling.
Vaginal irritation: Menopause is associated with dryness of the vagina due to the lack of secretions (due to low estrogens). There are numerous over the counter products available that can replace the secretions and even make sexual intercourse enjoyable. The products are available at any pharmacy and include lubricants such as Astroglide, K-Y Jelly, moisturizers (Replens, Vagisil) or vaginal estrogen.
Sleep: Sleep patterns are always altered during menopause and one should avoid aggravating this insomnia with hot beverages and alcohol. One should try relaxation techniques, deep breathing and muscle relaxations. Many books are available on these topics.
Kegel exercise: During menopause, the pelvic floors weaken and one feels like the whole bottom part of the body is sagging. One should learn how to perform Kegel exercises. These important and simple exercises will help you strengthen your pelvic and abdominal muscles. This will go a long ways to improving not only your sex life but also decrease the chance of developing urinary incontinence.
Exercise: When attempting to treat the symptoms of menopause naturally, nutrition and lifestyle changes can be one of your biggest allies. On the surface, aerobic exercise is simply all-around good for you; it helps keep your heart and lungs healthy and can help you to maintain bone density. These things are all the more important when going through menopause.
Exercise cannot prevent menopausal symptoms, but it can certainly help to alleviate the frequency and severity of some symptoms. Beginning and sticking with an exercise program can lessen occurrences of hot flashes, night sweats, insomnia, fatigue, irritability, anxiety, and depression. A moderate level of physical activity throughout the day helps most people to sleep better.
Flashes: For those experiencing hot or cold flashes, exercise regularly and avoid spicy foods, hot beverages (coffee), alcohol and hot surroundings. Dress appropriate to prevent the congested feeling.
Vaginal irritation: Menopause is associated with dryness of the vagina due to the lack of secretions (due to low estrogens). There are numerous over the counter products available that can replace the secretions and even make sexual intercourse enjoyable. The products are available at any pharmacy and include lubricants such as Astroglide, K-Y Jelly, moisturizers (Replens, Vagisil) or vaginal estrogen.
Sleep: Sleep patterns are always altered during menopause and one should avoid aggravating this insomnia with hot beverages and alcohol. One should try relaxation techniques, deep breathing and muscle relaxations. Many books are available on these topics.
Kegel exercise: During menopause, the pelvic floors weaken and one feels like the whole bottom part of the body is sagging. One should learn how to perform Kegel exercises. These important and simple exercises will help you strengthen your pelvic and abdominal muscles. This will go a long ways to improving not only your sex life but also decrease the chance of developing urinary incontinence.
Exercise: When attempting to treat the symptoms of menopause naturally, nutrition and lifestyle changes can be one of your biggest allies. On the surface, aerobic exercise is simply all-around good for you; it helps keep your heart and lungs healthy and can help you to maintain bone density. These things are all the more important when going through menopause.
Exercise cannot prevent menopausal symptoms, but it can certainly help to alleviate the frequency and severity of some symptoms. Beginning and sticking with an exercise program can lessen occurrences of hot flashes, night sweats, insomnia, fatigue, irritability, anxiety, and depression. A moderate level of physical activity throughout the day helps most people to sleep better.
Menopause Treatments
It is important to remember that menopause itself is a normal part of life, not a condition or disease that requires treatment. However, treatment of some of the symptoms of menopause is possible if they become severe.
One of the most common menopausal treatments in the medical community is hormone therapy, also known as hormone replacement therapy (HRT). HRT, administered orally, consists of the female hormone estrogen, or a combination of estrogens and progesterone. This helps to maintain estrogen levels in the body and can control symptoms of menopause related to the decline of estrogen, such as hot flashes and vaginal dryness.
While an effective treatment method, HRT has been shown to have its risks. Long-term studies of women receiving hormone therapy with both estrogen and progesterone have shown an increased risk for heart attack, stroke, and breast cancer. Estrogen therapy alone has been associated with an increased risk of endometrial cancer.
Similar to HRT, there are also vaginal hormonal treatments available. Sometimes combined with oral estrogen treatments, local (vaginal) treatments include vaginal estrogen creams, tablets, and the vaginal estrogen ring. These treatments carry similar risks to those of oral estrogen treatments.
Oral contraceptive pills can be used as hormone therapy to treat women in the early stages of menopause who are experiencing irregular vaginal bleeding (“spotting” or “breakthrough bleeding”) by regulating menstrual periods. It can also aid in reducing hot flashes and night sweats.
It is important to remember that while the pill is a very common prescription, it may not be right for all women, and carries it’s own host of risks. Some of the more serious risks include blood clots, stroke and heart attacks, which are increased if you smoke.
There has been a lot written lately about bioidentical hormones. While these may be naturally derived, they also carry the same risks as the natural estrogen.
One of the most common menopausal treatments in the medical community is hormone therapy, also known as hormone replacement therapy (HRT). HRT, administered orally, consists of the female hormone estrogen, or a combination of estrogens and progesterone. This helps to maintain estrogen levels in the body and can control symptoms of menopause related to the decline of estrogen, such as hot flashes and vaginal dryness.
While an effective treatment method, HRT has been shown to have its risks. Long-term studies of women receiving hormone therapy with both estrogen and progesterone have shown an increased risk for heart attack, stroke, and breast cancer. Estrogen therapy alone has been associated with an increased risk of endometrial cancer.
Similar to HRT, there are also vaginal hormonal treatments available. Sometimes combined with oral estrogen treatments, local (vaginal) treatments include vaginal estrogen creams, tablets, and the vaginal estrogen ring. These treatments carry similar risks to those of oral estrogen treatments.
Oral contraceptive pills can be used as hormone therapy to treat women in the early stages of menopause who are experiencing irregular vaginal bleeding (“spotting” or “breakthrough bleeding”) by regulating menstrual periods. It can also aid in reducing hot flashes and night sweats.
It is important to remember that while the pill is a very common prescription, it may not be right for all women, and carries it’s own host of risks. Some of the more serious risks include blood clots, stroke and heart attacks, which are increased if you smoke.
There has been a lot written lately about bioidentical hormones. While these may be naturally derived, they also carry the same risks as the natural estrogen.
Friday, March 13, 2009
Fibromyalgia- Lyrica may be worth a try?
One of the most puzzling disorders in all of medicine is fibromyalgia. No one seems to have a clue what causes it or how to best treat it. The internet is inundated with products that can be used to treat fibromyalgia- most of these are fraudulent therapies with little scientific basis.
Over the past few years, a small study revealed that Gabapentin (neurontin) may help certain patients with fibromyalgia. Individuals who took neurontin for about 10-12 weeks reported significantly less pain, improved sleep, and better function in life compared to the control group. Even though Gabapentin is not approved for the treatment of fibromyalgia by the FDA, many physicians do prescribe it. Its major side effects are dizziness and lethargy.
A couple of years ago, another related drug called lyrica (pregabalin) was approved by the FDA to treat fibromyalgia. Like neurontin, one large study did show that individuals who took lyrica had better sleep and less pain compared to the control group who took nothing.
Lyrica is actually an anti seizure drug which is widely used to treat a number of pain disorders. Besides fibromyalgia, it is also used to treat diabetic neuropathies, herpes zoster, and generalized anxiety. The most common side effects of the drug include dizziness and lethargy. It does have a few other minor side effects (blurry vision, tremor, etc) but these are quite rare. As far as fibromyalgia is concerned, all the reports about its efficacy reveal that it does work in about 30-50 percent of patent. Why it does not work in all patients is unknown but perphaps this is related to the diverse causes of fibromyalgia.
For those individuals who have tried everything underneath the sun for their fibromyalgia and have not found the magic pill, lyrica may be worth a try.
Over the past few years, a small study revealed that Gabapentin (neurontin) may help certain patients with fibromyalgia. Individuals who took neurontin for about 10-12 weeks reported significantly less pain, improved sleep, and better function in life compared to the control group. Even though Gabapentin is not approved for the treatment of fibromyalgia by the FDA, many physicians do prescribe it. Its major side effects are dizziness and lethargy.
A couple of years ago, another related drug called lyrica (pregabalin) was approved by the FDA to treat fibromyalgia. Like neurontin, one large study did show that individuals who took lyrica had better sleep and less pain compared to the control group who took nothing.
Lyrica is actually an anti seizure drug which is widely used to treat a number of pain disorders. Besides fibromyalgia, it is also used to treat diabetic neuropathies, herpes zoster, and generalized anxiety. The most common side effects of the drug include dizziness and lethargy. It does have a few other minor side effects (blurry vision, tremor, etc) but these are quite rare. As far as fibromyalgia is concerned, all the reports about its efficacy reveal that it does work in about 30-50 percent of patent. Why it does not work in all patients is unknown but perphaps this is related to the diverse causes of fibromyalgia.
For those individuals who have tried everything underneath the sun for their fibromyalgia and have not found the magic pill, lyrica may be worth a try.
Saturday, February 28, 2009
Botox to Treat Sweating
In the last decade Botulinum toxin has become an option in the treatment of axillary sweating disorder. The treatment includes injections of Botulinum toxin in the axilla. Using a very fine needle the entire armpit is injected. Despite what the health care practitioners say, it is not a fun to have these injections. Botox acts by blocking release of secretions from the sweat glands. Rarely it is used to treat sweating around the palms or the face. When used in the hand area, it is not only painful but may temporarily paralyze small muscles of the hand.
After a few hours, one can resume daily living activities but all heavy exercises should be avoided for at least 24-48 hours.
Botox does not decrease sweating in everyone. Clinical data reveal that only 50-75% of individuals respond and the results are varied. Some people see a major reduction in sweat and others only see a mild effect.
Most people see a reduction in sweat in about 48 hours. If no effect has occurred by this time period, it is unlikely that Botox will work. The full effect of Botox takes up to 3-7 days. If Botox injections did not work the first time, do not be foolish and go to the same health care professional for a second attempt- unless you suspect that the individual who injected you was incompetent or if the Botox was fake/diluted.
Botox is not a cure for sweating and its effects wear off after a period of 4-10 months. Numerous injections (20-50) of the toxin are usually required. The treatments have to be repeated every 6-10 months. After the injections most individuals complain of flu like syndrome, which lasts a few days.
So far, no serious complications have been reported and it appears that Botox does provide temporarily relief from sweating in some lucky individuals.
The cost of Botox for treating sweating is variable and depends on how many injections you get and who does them. The average cost for Botox to treat sweating is anywhere from $400-$1,000. Physicians usually charge the higher number.
Final Word: Medicine and money have never been a great combination. There are now lots of people performing Botox injections. Besides health care professionals, there are a many other individuals who have no idea what is the meaning of the word sterility, performing these injections. In addition, there are a lot of reports of fake and diluted Botox being used. So in the end, remember the adage, “Buyer Beware” - seek a health care professional whom you can trust.
After a few hours, one can resume daily living activities but all heavy exercises should be avoided for at least 24-48 hours.
Botox does not decrease sweating in everyone. Clinical data reveal that only 50-75% of individuals respond and the results are varied. Some people see a major reduction in sweat and others only see a mild effect.
Most people see a reduction in sweat in about 48 hours. If no effect has occurred by this time period, it is unlikely that Botox will work. The full effect of Botox takes up to 3-7 days. If Botox injections did not work the first time, do not be foolish and go to the same health care professional for a second attempt- unless you suspect that the individual who injected you was incompetent or if the Botox was fake/diluted.
Botox is not a cure for sweating and its effects wear off after a period of 4-10 months. Numerous injections (20-50) of the toxin are usually required. The treatments have to be repeated every 6-10 months. After the injections most individuals complain of flu like syndrome, which lasts a few days.
So far, no serious complications have been reported and it appears that Botox does provide temporarily relief from sweating in some lucky individuals.
The cost of Botox for treating sweating is variable and depends on how many injections you get and who does them. The average cost for Botox to treat sweating is anywhere from $400-$1,000. Physicians usually charge the higher number.
Final Word: Medicine and money have never been a great combination. There are now lots of people performing Botox injections. Besides health care professionals, there are a many other individuals who have no idea what is the meaning of the word sterility, performing these injections. In addition, there are a lot of reports of fake and diluted Botox being used. So in the end, remember the adage, “Buyer Beware” - seek a health care professional whom you can trust.
Tuesday, February 24, 2009
Symptoms of Menopause
A frequent and much-bemoaned symptom of menopause is the intense hot flashes that are not predictable or short lived. A sensation of warmth that spreads over the body, often most prominent around the face, neck and chest; these hot flashes usually last several minutes. Often times, hot flashes are accompanied by night sweats, an event of saturated sweat that occurs in the nighttime. Noticeably, the quality of sleep is usually disturbed.
Other common symptoms do become obvious as menopause progresses. When estrogen levels decline, the tissue lining the vagina begins to thin and loses elasticity. This incidence presents itself in generating symptoms like frequent vaginal itching, dryness, and irritation. The urethral lining also is similarly affected and this often leads to an increased incidence of urinary tract infections.
Menopausal women may also start to gain weight or redistribute body fat. Since the body continues to produce a small amount of testosterone which is now unopposed by the low estrogen, menopausal women may also notice hair growth in places like the upper lip, chin, chest and abdomen.
Aside from the physical changes menopause can bring emotional symptoms that are varied in nature. Some women experience memory problems, fatigue, irritability, depression, loss of energy and rapid mood swings. There is a definite link between low levels of estrogen and mood disorders.
However, it is difficult to say how much of any of these problems are caused by menopause itself and how big a part outside factors could play, such as stress, marriage, children, money, or lifestyle changes.
Even though it appears that the symptoms go on forever, the good news is that there are a number of good treatments available.
Other common symptoms do become obvious as menopause progresses. When estrogen levels decline, the tissue lining the vagina begins to thin and loses elasticity. This incidence presents itself in generating symptoms like frequent vaginal itching, dryness, and irritation. The urethral lining also is similarly affected and this often leads to an increased incidence of urinary tract infections.
Menopausal women may also start to gain weight or redistribute body fat. Since the body continues to produce a small amount of testosterone which is now unopposed by the low estrogen, menopausal women may also notice hair growth in places like the upper lip, chin, chest and abdomen.
Aside from the physical changes menopause can bring emotional symptoms that are varied in nature. Some women experience memory problems, fatigue, irritability, depression, loss of energy and rapid mood swings. There is a definite link between low levels of estrogen and mood disorders.
However, it is difficult to say how much of any of these problems are caused by menopause itself and how big a part outside factors could play, such as stress, marriage, children, money, or lifestyle changes.
Even though it appears that the symptoms go on forever, the good news is that there are a number of good treatments available.
Menopause 101
Menopause is frequently referred to as the “change of life”. It is a natural part of the aging process for all women, generally becoming obvious by irregular menstrual cycles and concluding in cessation of menstruation altogether. This conversion into a new phase of life can be perplexing for many women. What is menopause? When does menopause start? What symptoms will I experience? When will it end?
For most women, menopause starts between the ages of 45 and 55, though some women may arrive at menopause as early as age 35 or not until 55. There is no way to foretell when an individual woman will arrive at menopause, though there does seem to be a relationship between the menopausal ages of the mother and daughter.
The beginning of menopause is discernible by irregular menstrual cycle span, which can mean longer, or shorter menstrual cycles. There is also a noticeable change in the flow of periods- from lighter or heavier. Due to the natural hormone variations in a woman’s body at this time, other signs or symptoms may portray themselves in unpredictable intensities.
As menopause moves forward, a woman’s body steadily decreases production of the female sex hormone, estrogen. Estrogen is known to regulate menstruation and pregnancy, as well as help in development of female physical and sexual characteristics such as body shape, fat, breasts and hair. Estrogen also acts to strengthen bone; therefore women going through or who have gone through menopause are at increased risk for osteoporosis.
The severity of menopausal symptoms experienced fluctuate significantly from woman to woman. Some women may experience considerable menopausal symptoms, both physical and emotional, while others may experience few or none.
For most women, menopause starts between the ages of 45 and 55, though some women may arrive at menopause as early as age 35 or not until 55. There is no way to foretell when an individual woman will arrive at menopause, though there does seem to be a relationship between the menopausal ages of the mother and daughter.
The beginning of menopause is discernible by irregular menstrual cycle span, which can mean longer, or shorter menstrual cycles. There is also a noticeable change in the flow of periods- from lighter or heavier. Due to the natural hormone variations in a woman’s body at this time, other signs or symptoms may portray themselves in unpredictable intensities.
As menopause moves forward, a woman’s body steadily decreases production of the female sex hormone, estrogen. Estrogen is known to regulate menstruation and pregnancy, as well as help in development of female physical and sexual characteristics such as body shape, fat, breasts and hair. Estrogen also acts to strengthen bone; therefore women going through or who have gone through menopause are at increased risk for osteoporosis.
The severity of menopausal symptoms experienced fluctuate significantly from woman to woman. Some women may experience considerable menopausal symptoms, both physical and emotional, while others may experience few or none.
Sunday, February 22, 2009
Iontophoresis to treat Sweating
What is Iontophoresis?
Iontophoresis is an old technique that uses electrical stimulation to decrease sweating. It is used mainly to treat sweating of the palms and/or soles and rarely the armpit. Treatment involves putting the affected areas (usually hands and/or feet) into a small container filled with water. A small electrical current is then passed through the water through special electrodes from a nearby machine. There is no device whereby the whole body can be immersed into the water solution.
Iontophoresis is not painful or dangerous, but may cause a sensation of 'pins and needles' feeling. Most people tolerate the process. However, some individuals may not like the "tingling" feeling.
How iontophoresis works is unknown but does help block the glands from secreting sweat.
Iontophoresis treatment is done 3-4 times per week and each session lasts about 30 minutes. For some unknown reason, the technique does not work in all individuals who sweat. Some individuals do see an improvement after 6-10 treatment sessions. If one does not see an improvement after 8 weeks, it is unlikely to work at all.
A break of 2-4 weeks is allowed in between the sessions. Some recommend a maintenance treatment on a weekly basis. If ordinary tap water does not produce any results, a drug called glycopromium bromide is sometimes added to the water. This may improve the rate of success.
Why iontophoresis does not work in all individuals is a mystery. when it works, the results are a mild reduction in sweating. To maintain the benefit, iontophoresis needs to be done on a weekly basis for a long time
Today Iontophoresis is used in spas, clinics, hospitals and portable devices also available for home use. Iontophoresis is not recommended if one is pregnant or has a pacemaker, metal clips or pins in the body.
For the individual who has a sweat problem, iontophoresis is just one treatment method and it usually does not work. Before you invest your hard earned money into a device with vague claims, go read the testimonials on cyberspace. The bottom line is it is JUNK SCIENCE.. Today, there are much better treatments for sweating.
Another use of iontophoresis is in the delivery of drugs through the skin, where it works superbly.
To know more about iontophoresis for drug delivery, visit www.medexsupply.com
Iontophoresis is an old technique that uses electrical stimulation to decrease sweating. It is used mainly to treat sweating of the palms and/or soles and rarely the armpit. Treatment involves putting the affected areas (usually hands and/or feet) into a small container filled with water. A small electrical current is then passed through the water through special electrodes from a nearby machine. There is no device whereby the whole body can be immersed into the water solution.
Iontophoresis is not painful or dangerous, but may cause a sensation of 'pins and needles' feeling. Most people tolerate the process. However, some individuals may not like the "tingling" feeling.
How iontophoresis works is unknown but does help block the glands from secreting sweat.
Iontophoresis treatment is done 3-4 times per week and each session lasts about 30 minutes. For some unknown reason, the technique does not work in all individuals who sweat. Some individuals do see an improvement after 6-10 treatment sessions. If one does not see an improvement after 8 weeks, it is unlikely to work at all.
A break of 2-4 weeks is allowed in between the sessions. Some recommend a maintenance treatment on a weekly basis. If ordinary tap water does not produce any results, a drug called glycopromium bromide is sometimes added to the water. This may improve the rate of success.
Why iontophoresis does not work in all individuals is a mystery. when it works, the results are a mild reduction in sweating. To maintain the benefit, iontophoresis needs to be done on a weekly basis for a long time
Today Iontophoresis is used in spas, clinics, hospitals and portable devices also available for home use. Iontophoresis is not recommended if one is pregnant or has a pacemaker, metal clips or pins in the body.
For the individual who has a sweat problem, iontophoresis is just one treatment method and it usually does not work. Before you invest your hard earned money into a device with vague claims, go read the testimonials on cyberspace. The bottom line is it is JUNK SCIENCE.. Today, there are much better treatments for sweating.
Another use of iontophoresis is in the delivery of drugs through the skin, where it works superbly.
To know more about iontophoresis for drug delivery, visit www.medexsupply.com
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