MENOPAUSE SUPPORT

Appreciating who we are as women can help us deal with the aggravating symptoms of menopause. The right supplements, foods, and exercise can help, too.
HRT, Hot flashes, insomnia, mood swings,& an increased risk of heart attack and stroke. Read on to discover how you can make a smooth transition...
Once treated by mainstream medicine as a disease, menopause is a normal transition in a woman’s life from an age of fertility to one of wisdom. Like anything important in a woman’s life, this transition can sometimes be a challenge. There are three stages to this transition: perimenopause, menopause, and post menopause. With the recent revelation that standard hormone replacement therapy for the relief of hot flashes caused a significant increase in the risk of abnormal cell growths, a course of action for support during this transition can be confusing. But there are effective and safe alternatives to HRT with drugs.

Clinically, menopause is complete when one year has passed since the cessation of menstruation. The perimenopausal period can last for several years. During this time women experience gradual cycle changes like more or less bleeding and variations in cycle length. Anemia can occur due to heavy menstrual bleeding. Another way to experience menopause is through the removal of the ovaries. Hormonal shifts during perimenopause or after ovary removal cause hot flashes, night sweats, vaginal dryness, low libido, urinary incontinence, dizziness, heart palpitations, headaches and mood swings. Factors that aggravate symptoms are poor diet, stress, alcohol, caffeine, tobacco and spices.

Around menopause hormone release occurs sporadically and produces symptoms such as hot flashes, night sweats, vaginal dryness, low libido, urinary incontinence, dizziness, heart palpitations, headaches, irregular cycles, irregular bleeding and mood swings. Estrogen receptors are located on non-reproductive cells too. Therefore, menopause affects the aging of a women’s whole body. Skin cells need estrogen to stay smooth and moist. The thyroid gland uses estrogen to maintain body temperature. Proper bone formation requires estrogen. The arteries and heart require estrogen for maintaining their functioning.

Progesterone and testosterone levels also decline in menopause. Progesterone has a calming affect on the brain and nervous system and menopausal women may suffer with anxiety, depression or other emotional concerns. Testosterone regulates the libido and contributes to a decrease in sex drive often reported by menopausal women.

The typical perimenopausal symptoms are treated conventionally by synthetic hormone replacement of estrogen, progesterone and/or testosterone. It decreases perimenopausal symptoms and was also believed to protect against heart disease, and bone loss. Recently these benefits have been called into question. New research suggests that there may also be health risks associated with hormone replacement regardless of whether the source is synthetic or natural. Talk to a health professional about the benefits and drawbacks of hormone replacement.

The relief of these symptoms and natural support for the increased risk of other health concerns aggravated by menopause should include some or all of the following: balancing of hormones (sex hormones as well as adrenal and thyroid hormones), reducing symptoms like hot flashes and mood swings, supporting bone health, and supporting heart health. Natural support of the menopausal woman involves supporting the whole body because during menopause women lose the protective effect of estrogen on the body. The skeletal and cardiovascular systems are especially susceptible to degeneration due to low estrogen levels.

HORMONES: A DELICATE BALANCE

Hormones are very powerful substances that regulate bodily functions and cause dramatic changes in our health. As estrogen levels decline and fluctuate during the perimenopausal and menopausal periods, the normal balance of this group of hormones is disrupted and typical menopausal symptoms result. Many herbs contain safe and naturally occurring estrogens and can be used as natural hormone replacement therapy without the side effects of conventional HRT. Some of these herbs include: Vitex, dong quai, black cohosh, damiana, soy extracts, licorice and others. Use standardized extract versions of these plants as they are stronger than the raw versions and contain a consistent amount of active ingredient. Progesterone levels can also be optimized with the essential fat supplements primrose oil or borage oil. Both of these contain the essential fat GLA which your body needs to produce progesterone. Both of these work well combined with vitamin E. An imbalance between estrogen and progesterone is largely the reason why women experience hot flashes and an increased risk of heart disease and osteoporosis.Other hormones such as thyroid and adrenal gland hormones can also fluctuate during menopause & perimenopause, causing symptoms such as fatigue, anxiety, stress, and insomnia.

To prevent or reduce these symptoms, support your thyroid with kelp and the amino acid tyrosine; iodine from the kelp is needed to make the T3 and T4 hormones, as is tyrosine. Stress during this transition also means that the adrenal glands should be supported in addition to the thyroid. The adrenal glands manufacture hormones that help our bodies deal with stress effectively. When you are under long term stress, they can become exhausted and fatigue and a feeling of uncontrollable stress results.

Support your adrenal glands with vitamins C and B (in particular B5).

Also use a herbal adrenal support formula with some or all of the following herbs: licorice, Siberian ginseng, ashwaghanda, and astragalus. For more information on supporting the thyroid, see our article about thyroid support, and for more information on adrenal support see our article here.

If you or your practitioner suspect estrogen dominance, follow the above recommendations for increasing progesterone production, in addition to taking supplements to balance excess levels of estrogens, especially estrogen analogs in the form of toxins from the environment. Use the supplements D-glucarate, I3C (indole – 3- carbinol), and milk thistle to help your liver break down xeno-estrogens.

HOT FLASHES, INSOMNIA, ANXIETY

Reducing the symptoms of hot flashes, insomnia, depression and vaginal dryness will usually be relieved by most of the recommendations above for balancing hormones, but if you do not experience enough relief, then for insomnia consider: valerian, calcium – magnesium, or melatonin. For depression and mood swings, St. John’s Wort is effective in relieving mild to moderate depression and anxiety. Vitamin E and aloe can be applied topically to help relieve vaginal dryness.

Here are some simple suggestions to help when dealing with uncomfortable hot flashes:
- Try to keep track of when the hot flashes occur. By doing this you may be able to find what triggers them and try to avoid it.
- When a hot flash begins, try to get somewhere cooler.
- If you experience hot flashes throughout the night, try sleeping in a cooler room or with a fan on.
- Dress in layers. If you begin to get to warm you can easily take off a layer.
- Use sheets and clothing that allow your skin to breathe.
- Have a cool drink of water or juice to help cool you down when a hot flash starts.

BONE HEALTH AND MENOPAUSE

Osteoporosis is a major concern for most menopausal women. A good foundation for a bone building supplement program during this time in a woman’s life is calcium – magnesium. Supplying optimum levels of active and absorbable calcium is crucial for maintaining bone mass. The optimum daily allowance (the amount needed for promoting health) is 1500mg with 750mg magnesium. This is the elemental dosage, which refers to the actual amount of calcium available to the body for absorption. However, not all types of calcium are absorbed equally by the body. In fact, the most commonly used form of calcium available in most drug and grocery stores – calcium carbonate – is derived from rock. The superior forms of calcium for the average person are chelate and citrate. Both of these active forms of calcium have been bound to another nutrient so that they can permeate cell membranes more effectively than the calcium in its raw state. In the case of the chelate type, the calcium has been bound to a protein that enhances its bioavailability; the citrate type has been bound to citric acid. A third therapeutic form of calcium is specific for people with identifiable loss of bone mass. This is the form of calcium that is actually found in the bones. It is called CMHA, or calcium microcrystalline hydroxyapatite. It has been clinically proven to increase bone mass and decrease loss of bone mass, but should only be used by those with diagnosed osteoporosis.

Synergistic nutrients can make a substantial difference in the uptake of calcium by the bones. For a variety of different reasons calcium can be difficult to absorb - one of them being that as a mineral, calcium has a negative charge that can repel it from the cells of the body. It’s very important, then, for people concerned about bone health that nutrients be taken along with calcium. Some of them include: magnesium (in a 2:1 ratio), zinc, silica, manganese, copper, boron, and potassium. While there are others, these are the ones that can make the biggest difference for bioavailability. Some of these, like magnesium and zinc, can increase absorption in the gut, while others, like the boron and silica increase the actual uptake of calcium by the bones and its subsequent integration as new bone mass.

Maintaining and alkaline PH in the body is important for helping to maintain bone mass during menopause because an acidic environment in the body leaches calcium and other minerals out of your bones. This occurs because your body – in an attempt to neutralize excess acidity will use its resources of alkaline substances (in this case the minerals from your bones) to harmonize its PH. Over time, this will eventually lead to loss of bone mass. A good quality green food supplement taken on a daily basis can help to increase the alkalinity of your body. So will most minerals, but in particular the mineral potassium. Consider monitoring your PH daily with ph paper strips, or with an electronic ph meter. These can help you gauge your ph accurately and allow you to adjust your supplements and your diet appropriately. For more information about how you can maintain bone health.