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Posted by
Dr. Allison Pontius in Menopause Management on February 17th
Question: Since I have been experiencing perimenopause, I have had occasional bouts of rapid heartbeat. It is actually very scary. Is this hormonal and is it anything to be concerned about? Can it be treated with hormone therapy? Answer:
Heart racing and being able to notice your heart beating can be associated with menopause. I would check your hormone levels and replace any deficient hormones and see if the symptoms resolve. Additionally, it would be wise to see your primary care physician to have an EKG performed to make sure there are no additional issues to be dealt with but typically mild symptoms are related to menopause. Posted by
Dr. Allison Pontius in Bio-Identical Hormone Replacement, Menopause Management on February 17th
Question: Are there any hormone related symptoms other than menopause that are frequently treated with bioidentical hormones? Answer:
There are many hormone related symptoms that are related to menopause that we do not necessarily think of other than the hot flashes and night sweats. Other symptoms of menopause include mood changes, irritability, anxiety, insomnia, hair thinning, osteopenia or osteoporosis, weight gain, libido changes, difficulty sleeping, mood swings, etc. Posted by
Dr. Allison Pontius in Menopause Management on February 17th
Question: I have a friend who is going through menopause. She is always complaining that she is gassy and bloated. Is this caused by menopause and are there menopause treatments that can help with her symptoms? Answer:
Someone who is going through menopause complaining of bloating and gassiness can be due in part to hormonal imbalance. It is certainly the first thing I would check in this patient. I would want to ensure that her hormones are well balanced by replacing them with bioidentical hormone replacement. If this did not solve the problem of bloating and gassiness, I would look at the gastrointestinal system with a comprehensive digestive stool analysis and based on those results correct any problems that are occurring directly in the gastrointestinal tract. Posted by
Dr. Allison Pontius in Menopause Management on February 15th
Question: My allergies have gotten significantly worse since I hit menopause. I have tried all kind of allergy medications with little effect. Is it possible my allergies are caused by the hormonal problems of menopause and could hormone therapy help with my allergies. Answer:
I think with allergies getting worse we would want to look at multiple systems in the body including the hormone system. I would check your hormones, particularly if the allergies worsened around the time of menopause and replace any deficient hormones. These include estrogen, progesterone, testosterone, DHEA and cortisol. I would also look at the health of the gut or the GI system because we often have gut problems which surprisingly are linked to allergies as well. So we would want to maximize the function of the gastrointestinal system, check for any food allergies and ensure you have the appropriate gastric acidity and enzymes for digestion and no overgrowth of bad bacteria in the gut either. So there are many things we look at. We want to maximize your nutritional therapy as well and certainly there are many supplements that contain some key ingredients that can be helpful for allergic symptoms. Posted by
Dr. Allison Pontius in Bio-Identical Hormone Replacement, Menopause Management on February 13th
Question: Is incontinence a symptom of menopause? I am finding this very embarrassing and would like to know if BHRT can treat it. Answer:
Incontinence does tend to occur as estrogen declines during menopause. Estrogen can help the incontinence if it is due to the estrogen deficiency and hormonal balance tends to help these types of symptoms. However, if the incontinence is due to previous surgery or other bladder issues, the BHRT may not be the complete solution. Posted by
Dr. Allison Pontius in Bio-Identical Hormone Replacement, Menopause Management on February 12th
Question: As I have gotten older my memory has gotten so much worse and my brain so fuzzy. I was starting to get worried that I was getting Alzheimer's or dementia but I did some research and now I think it is hormonal. What sort of treatments could help with this? Answer:
Estrogen is your hormone of memory so if you are near the time of menopause or post menopausal, very likely an estrogen deficiency is contributing to memory problems especially the brain fog that many women experience. Certainly we want to improve memory. There are many nutritional things that can help with memory, particular supplements such as Phosphatidylserine and Vinpocetine, keeping mentally active by reading, doing crosswords, doing puzzles and using the brain helps as well. Posted by
Dr. Allison Pontius in Menopause Management on February 10th
Question: I have always had problems sleeping but as I have entered premature menopause I have had horrible insomnia. I am not waking up from night sweats, I am just tossing and turning unable to sleep. A friend of mine recommended bioidentical hormone therapy. Can this help? Answer:
Bioidentical hormone replacement therapy can help if you are deficient in hormones. If you are in a premature menopause, you are likely deficient in progesterone which is a key hormone for the sleep cycle. I would suggest getting your hormone levels tested including your cortisol level and then replacing any deficient hormones. In addition, because insomnia can be a multifactorial problem, I would certainly ensure you are using proper sleep hygiene such as sleeping in a dark room, covering all lights in the room, not watching television before bed, not doing any other activities in bed other than sleeping and sex and ensuring you have appropriate wind down time before bed and stress is controlled but likely it is due to the hormone imbalances that are experienced in premature menopause. Posted by
Dr. Allison Pontius in Menopause Management on February 9th
Question: I have been having problems with some hair loss and hair thinning. I don't really think much about it but my doctor thinks it might be hormonal and it could be a sign of menopause. I do not have any other symptoms but should I go on hormone therapy just for this? Answer:
I would recommend testing your hormone levels. Progesterone deficiency can cause some hair loss and hair thinning that could be the case. Certainly other hormonal imbalances may be contributing to hair loss as well. Usually in women hair loss can be multifactorial but progesterone loss is a common cause. I think you should weigh the pros and cons of hormone replacement. Certainly there is major health benefits to using them and it may help with the hair loss and hair thinning. Posted by
Dr. Allison Pontius in Bio-Identical Hormone Replacement, Menopause Management on February 8th
Question: Since I have become menopausal, I have had the worst problem with fatigue. I feel like it is ruining my relationship with my husband, affecting my work and friendships. Will bioidentical hormones help treat fatigue? Answer:
When we measure your hormone status through a saliva test, I always like to measure a 4-point cortisol level. Cortisol is also a major hormone associated with fatigue. Certainly a loss of sex hormones such as estrogen, progesterone, testosterone, DHEA can cause fatigue as well and so can abnormal Cortisol so we want to look at the whole spectrum of hormones and usually it is a combination of several hormone imbalances contributing to fatigue so we want to address all potential causes of fatigue. Posted by
Dr. Allison Pontius in Menopause Management on February 8th
Question: I have had hormonal problems for years. I have gone through perimenopause, premenopause and now I am going through menopause. Through all of this I have had the worst mood swings and been horrible to be around. Can bioidentical hormones help with this? Answer:
Yes they can. They can help balance your hormonal imbalances which may be responsible for the mood swings that you have been experiencing. |
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