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What ever happened to the days when women "came of age" and simply stopped menstruating... when menopause was recognized as a natural part of life - a Right of Passage - and not as a disease needing a cure? Why is it that the medical profession views menopause as something needing to be "fixed," even when nothing's broken?

For well over 40 years now, women have been given estrogen, in its various forms, to prevent miscarriage, as a morning-after pill, to alleviate symptoms associated with menopause, to suppress milk in new mothers, to prevent osteoporosis, and to keep them sexually active and "forever young."

Gynecologist Robert Wilson must have thought that estrogen replacement was the Sexual Holy Grail for women back in the 60s when he wrote his hugely successful (albeit sexist) book, Feminine Forever (published in 1966). He had women believing that they decended into a "vapid cow-like" state and estrogen would be their salvation... their ticket to being a younger-looking wife and mother.

Estrogen replacement therapy may be necessary for some women, in some circumstances. However, most women do not need estrogens. Other women may need estrogens for a few months while their bodies adjust to lower (as long as women have their ovaries, they will continue to create some estrogen) estrogen levels. 

Hormone replacement therapy has been shown to relieve hot flashes, vaginal changes and osteoporosis, though not without risks. In addition to the increased risk of cancer of the uterus (unless you've had a total hysterectomy) and breast cancer, there are side effects associated with HRT, such as nausea/vomiting, breast tenderness, depression, enlargement of benign tumors of the uterus, retention of excess fluid, and spotty darkening of the skin.

Last week, a large federally funded study (published in The JAMA) provided definitive proof that estrogen and progestin are not age-defying wonder drugs as we were lead to believe. This study came as a shock to the Medical System.

Another, and lesser known issue, is how the estrogen drug, Premarin, is created. Made from pregnant mare's urine, the cruelty involved in its production would be reason enough to refuse using it.

Why take these risks if there's a more natural way to go through this "Menopausal Initiation?" The side effects are far worse than the symptoms HRT is meant to alleviate. So NOW what do we do?


Interestingly enough, many women in other cultures do not have the side effects of menopause that are common to American women, due to lifestyle and eating habits. Studies of Japanese women with traditional Japanese diets (which are high in estrogenic substances) show a much higher level of plant estrogens in their bodies than those found in Western women. Mayan women in Yucatan, Mexico, report no symptoms at menopause other than menstrual cycle irregularity.

For more information on what you should be taking, you can order the Health Report, "Are Hormones Making You Fat?" by Dr. Larrian Gillespie.

 

Alternative Therapies

The goal of any menopausal health program should be twofold: eliminate the bothersome symptoms, and to prevent the degenerative ailments.

Some health practitioners report that plant-derived synthetic hormones work as well as Premarin and more closely resemble human hormones than those made from mare's urine. Others, including many womens' health activists and practitioners of alternative medicine, suggest a more natural approach such as:

Black (not Blue) Cohosh -
Black Cohosh is fairly well studied in
Germany, where it is used to treat hot flashes.

Wild Yam has grown in popularity. Read the labels before you purchase. Unfortunately, misleading labeling and marketing practices has infiltrated the Natural Foods Industry, creating a great deal of confusion for women attempting to make educated purchases of wild yam and progesterone products. The inaccurate marketing of Wild Yam extract as a precursor to progesterone (it is chemically impossible for the body to convert the diosgenin of Wild yam into progesterone) are two common labeling confusions.

Soy products may also provide some relief. But before you start stocking up on Soy products, be sure you really understand the consequences to your health. There is such a thing as too much soy. Read The Soy Report, by Dr. Larrian Gillespie.

Don quai contains phytoestrogens , or plant estrogens. Phytoestrogens have been shown to be helpful in relieving hot flashes. Precautions: May cause sensitivity to the sun.

Herbologists also recommend ginseng, gotu kola and motherwort to help with palpitations that accompany hot flashes. Ayurveda recommends treating for a pitta imbalance. Homepathy uses Sepia, Lachesis, and Pulsatilla.

Vaginal creams that release low doses of estrogen can alleviate some discomfort.

Anxiety - Skullcap eases anxiety associated with menopause. Also, passion flower and valerian root are recommended for their extraordinary calming properties, along with chamomile, catnip, and peppermint teas.

Depression - It's been reported that herbs such as oat straw, ginger, cayenne pepper, dandelion root, blessed thistle, and Siberian ginseng improve vitality, partly due to the high levels of essential nutrients. And, of course, the herbs of choice for depression, St. John's Wort and Kava.

NOTE: Medicinal herbs are "medicine" and may have an adverse reaction with any prescription drugs you may be taking. Consult with your health care provider in regards to medicinal herbs. Don't assume that "Natural" means "safe."

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Menopause is the end of all menstrual bleeding. Generally speaking, women experience menopause between age forty-eight to fifty-two, but some women cease menstruating as early as their late thirties and early forties while others stop in their mid-fifties.

Perimenopause is the period before menopause, which occurs approximately between the ages of thirty-five to fifty, but is more commonly thought of as the five to ten years before menopause. Estrogen levels do not drop to zero. Some estrogen is still produced in fat cells, the supporting tissue around the ovaries, and in the intestinal tract.

Alternative Medicine, The Definitive Guide, pgs 659-660

 

   


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