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Lydia Collins M. D. Transition to Menopause, the 40’s

Lydia Collins M. D. Transition to Menopause, the 40’s. www.CascadeWomensHealth.org. Why is this a topic that deserves our attention?. Neglected time of transition from… reproductive prime. To menopause…. Time of great physiological change from reproductive prime. …To menopause.

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Lydia Collins M. D. Transition to Menopause, the 40’s

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  1. Lydia Collins M. D.Transition to Menopause, the 40’s www.CascadeWomensHealth.org

  2. Why is this a topic that deserves our attention?

  3. Neglected time of transition from…reproductive prime

  4. To menopause…

  5. Time of great physiological change from reproductive prime..

  6. …To menopause

  7. Transitional physiology

  8. Why not check hormone levels?

  9. Bioidenticals?

  10. Estrogen dominance

  11. Why estrogen dominance?

  12. Effects of estrogen dominance • Menstrual changes w shorter cycle lengths, heavier flow and longer duration • Increased risk of cancers, especially breast and uterine • Non-cyclical breast tenderness? • Increased pms?

  13. Erratic hormone levels

  14. Effects of hormonal “chaos” • Increasing menstrual irregularities • Increased pms? • Hot flashes & night sweats • Non-cyclical breast tenderness? • Vaginal dryness • Symptoms can be intermittent

  15. Other manifestations of physiologic changes with aging • Slowing metabolism w weight gain • Change in body fat distribution • Abdominal bloating • Lactose intolerance • Sleep disruption • Changes in sexual function

  16. Final shift in primary source of estrogen in the body

  17. Risks of elevated perimenopausal estrogen levels & obesity • Very heavy and prolonged bleeding • Uterine cancer 2-4x • Breast cancer 1.5x • Kidney cancer 2-4x • Diabetes • High blood pressure • Urinary incontinence • Etc…….

  18. Unique culmination of life stressors • Teenage children • Preparing for “empty nest” • Primary relationship issues • Career & job stresses • Aging parents • Undeniable signs of aging

  19. Menstrual changes Increased pms Relationship issues Body fat changes Vaginal dryness Slowing metabolism Night sweats Abdominal bloating Changes in sexual fxn Aging parents Hot flashes Teenagers Weight gain Work stresses Empty nest Breast tenderness Getting old So what we have is…

  20. It is our response to this situation that sets the stage for the rest of our lives.

  21. Components of effective response • Medical care when needed • Acceptance • A realistic outlook • Nonjudgmental attention • Commitment to self-care • Willingness to make change • Flexible problem solving attitude

  22. Effective Weight Loss Strategies National Weight Control Registry • Eat a low-calorie, low-fat diet • Engage in a high level of physical activity • Limit TV viewing • Step on the scale often • Maintain diet consistency • Limit diet variety • Eat breakfast • Limit fast food

  23. Remember… • There are no quick fixes • Small changes count • What will work is unique to each person • Detached problem solving helps • Suspend harsh judments • Allow for and enjoy your lapses • Forget media messages • Sometimes big changes are needed

  24. Menstrual changes Increased pms Relationship issues Body fat changes Vaginal dryness Slowing metabolism Night sweats Abdominal bloating Aging parents Hot flashes Teenagers Weight gain Work stresses Empty nest Breast tenderness Getting old The transitional picture…

  25. “It’s better than the alternative” – Cher – on getting old

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