Hormone Replacement Therapy for Menopause More Facts

There are a number of different approaches to hormone replacement therapy (HRT) during menopause. For the most part, conventional physicians use conjugated estrogens (these are non-human and chemically modified estrogens) and progestins (synthetic mimics of progesterone). The HRT can be systemic, meaning it circulates in the blood throughout your body or it can be applied locally, either on the skin or by the use of vaginal preparations. This article will cover the use and the precautions for using conjugated estrogens and progestins. Another article will give an overview for the use of bioidentical hormones. [Read more…]

Bioidentical Hormone Replacement Therapy

The term “bioidentical” is a bit misleading because many think that it indicates entirely natural human hormones.

Bioidentical hormones are chemically identical to human hormones but they are synthesized from natural (plant) sources. They can be produced in pre-set dosages and if made by a pharmaceutical company, are regulated by the Food and Drug Administration (the FDA). Bioidentical hormones can also be compounded by a pharmacist to match the precise dose as written by your physician. Those bioidentical hormones specifically made on the orders of the physician are an example of individualized medicine, with the recognition that just as “one size does not fit all” one dosage does not fit all. [Read more…]

The History of Medicine as told through the use of Hormone Replacement Therapy

Physicians, partly because of their general “character” and partly for the patient’s sake, want to sound confident and certain about whatever their recommendations might be. No patient really wants to hear their physician talk about their recommended Treatment “A” with anything but certainty and extensive knowledge. How many times have you heard someone talk about their physician and say “He’s the best in town” or “She’s got the finest reputation and graduated tops in her class” or “My doctor is the best doctor in the world!” There is also the problem of litigation—if a treatment goes badly, what doctor wants to be reminded on the witness stand that they couldn’t answer a question or were uncertain if this was the right treatment for the patient? [Read more…]

Menopause and Belly Fat – Everything You Need to Know

One unwanted gift that ageing awards most of the women in midlife is belly fat. Besides the total weight gain, fat accumulation around the waist is another annoying problem that many women face around their middle age. The most disturbing and threatening fact is that this fat accumulation is not limited to the subcutaneous (under the skin) layer of the abdomen. It also accumulates intra-abdominally and surrounds the internal organs in the form of visceral fat. Hence the major concern of abdominal fat deposition during and after menopause is cosmetically an increase in the waist line and medically an increased risk of developing cardiovascular problems and type II diabetes. 1 [Read more…]


  1. Toth MJ, Tchernof A, Sites CK, Poehlman ET. Menopause-Related Changes in Body Fat Distribution. Annals of the New York Academy of Sciences. 2000 Jan 25; 904: 502-6. http://onlinelibrary.wiley.com/doi/10.1111/j.1749-6632.2000.tb06506.x/abstract;jsessionid=218584B25DA8A98D5963620E78759998.f02t03?deniedAccessCustomisedMessage=&userIsAuthenticated=false

Brain Fog and Menopause – Everything You Need to Know

It is quite usual for most of the women in middle age to report forgetfulness, memory declines, deficient vocabulary and concentration difficulties. 1 If this fact seems to relate to you, then you are not alone. Studies report that one-third to two-thirds of women in perimenopausal age group experience one or more of these cognitive dysfunctions. 2 Being aware of brain disorders like Alzheimer’s disease, that affect cognitive function, women with these symptoms tend to doubt that they are developing dementia. How many would know that this cognitive dysfunction or simply this ‘foggy brain’ is yet another embarrassing and frustrating symptom of their reproductive aging? [Read more…]


  1. Mitchell ES, Woods NF. Midlife Women’s Attributions about Perveived Memory Changes: Observations from the Seattle Midlife Women’s Health Study. J Womens Health Gend Based Med. 2001 May; 10(4): 351-362. Available from: http://online.liebertpub.com/doi/pdf/10.1089/152460901750269670
  2. Weber M, Mapstone M, Staskiewicz J et al. Menopause. 2012 Jul; 19(7): 735-41. Available from:  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3773730/.

Menopause and the Adrenal Glands

In another article I wrote about Adrenal Fatigue and Menopause: Nutritional and Other Treatments which you can read here. In this one we will cover the basics.

Our adrenal glands are the source of stress hormones—those hormones that allow us to deal with stress.

Now, let’s define stress—stress is, in a sense, what we make of it. Stress is the response to conditions in our environment and it is important to remember that what someone – or what someone’s body regards as stress is unique to that person. In other words, taking care of 2 toddlers may be stressful to one woman, where another woman responds with no stress or little stress. [Read more…]

Adrenal Fatigue and Menopause: Nutritional and Other Treatments

In another article, we described Adrenal Fatigue and how it can affect women during menopause. Here we will go into some safe and natural approaches that can help you and help support your adrenal glands—and that may significantly reduce some of the issues during menopause.

First, let’s look at some dietary and nutritional approaches.

Timing your meals and snacks

Before we go into the actual foods, remember to eat regularly. One of the main functions of cortisol, the adrenal hormone most concerned with stress, is helping to maintain normal functioning. To do this optimally, you need to nourish your body regularly and with healthy, whole foods. This means staying away from ANY processed foods. These contain preservatives and additives—and even if you don’t believe these are adding to your toxic load, they ARE chemicals that your body cannot use—why waste any energy on foods that won’t do a thing for you and are more likely to harm than help you? [Read more…]

Acid Reflux and Menopause: Everything You Need To Know

This article explains the relationship of menopause with GERD (Gastro-Esophageal Reflux Disease) to women of all ages. For generations women approached menopause and acid reflux with lack of knowledge about the two seemingly different but interrelated problems. A clear understanding about the complex relationship between the two can help you a lot in dealing effectively with both, successfully. [Read more…]

What You Need to Know About Hormone Replacement Therapy

(Part 1, General Considerations)

The complex changes which take place during menopause often involve multiple of the body’s most important hormones. Corrective therapy, referred to as Hormone Replacement Therapy (HRT), requires diligence and perseverance from both doctor and patient so that the treatment is both safe and effective. It is now a misnomer that there is only one hormone that becomes deficient with menopause. Indeed, one of the most important recent advances in HRT strategies is that any of the following hormones can become deficient during the time of menopause:

[Read more…]

Heart Disease and Menopause. Are you at risk?

Menopause, remember, IS NOT a disease. But, the changes your body is going through can put you at a higher risk for certain diseases.

Heart disease or more broadly, cardiovascular disease (CVD) can have many causes. It can be caused by a genetic condition, high blood pressure, smoking, high cholesterol, insulin resistance (pre-diabetes) and diabetes and various inflammatory conditions. [Read more…]