MENOPAUSE & HORMONES

YOU ALREADY KNOW...

You don’t feel like “yourself” with hot flashes, irritability, loss of memory, night sweats, and sleepless nights. You can’t seem to find your libido or anything else for that matter.

YOU MAY NOT KNOW...

Your symptoms can be indicators of perimenopause or menopause. Every woman who enters middle age is affected by menopause. Roughly 6,000 women in the United States reach menopause every day.

Many women transition without significant complications; however, countless others suffer from significant biological, cognitive, psychological, vulvovaginal, urinary, and sexual dysfunctions.

For many women, this time in life may represent a significant challenge. It may lead to problems in relationships with family, co-workers and friends.

YOU NEED TO KNOW...

Symptoms of menopause can be alleviated with many different therapy options. Our providers at Nore Women’s Health work with their patients in a partnership to treat women during this transition.

Common Symptoms

Your provider will ask you to fill out the Menopause Rating Scale (MRS) to rate the severity of many common symptoms. Visit norehealth.com for a complete list.

• Hot Flashes
• Vaginal Dryness
• Night Sweats
• Difficulty
Concentrating

• Irritability &
Mood Swings
• Memory Lapses
• Trouble Sleeping
• Incontinence

• Irregular Periods
• Joint &
Muscle Aches
• Loss of Libido
• Depression

During menopause, lifestyle changes including a healthy diet and exercise are recommended and may minimize symptoms. A balanced diet and adequate exercise are important to monitoring health and well-being.

GET ENOUGH CALCIUM

Eating and drinking two to four servings
of dairy products and calcium-rich foods
a day will help ensure that you are getting
enough calcium in your daily diet.

PUMP UP YOUR IRON INTAKE

Eating at least three servings of iron-rich
foods a day, such as dark leafy greens
and iron-enriched cereals and grains, will
help ensure that you are getting enough
iron in your daily diet.

GET ENOUGH FIBER

Help yourself to foods high in fiber such
as whole-grain breads, cereals, pasta,
rice, fresh fruits, and vegetables.

DRINK PLENTY OF WATER

Staying hydrated promotes digestion,
joint lubrication, and healthier-looking
skin.

REDUCE FOODS HIGH IN FAT

Fat should be 25% – 35% or less of
your total daily calories. Also, limit
saturated fat to less than 7% of your
total daily calories.

MAINTAIN A HEALTHY WEIGHT

Lose weight if you are overweight by
cutting down on portion sizes and
reducing foods high in fat, not by
skipping meals.

EAT FRUITS AND VEGETABLES

Include at least 1 1/2 cups of fruit and
2 cups of vegetables each day

USE SUGAR AND SALT IN MODERATION

Too much sodium in the diet is linked
to high blood pressure. Drinking just
one can of sugary soft drink a day can
significantly increase your risk of type 2
diabetes.

LIMIT ALCOHOL INTAKE

Women should limit their consumption
of alcohol to one or fewer drinks a day

EXERCISE

Exercising for 30 minutes at least 3 – 4
times a week will increase metabolism,
improve your mood and increase bone
and heart health and well-being.

STOP SMOKING

Women who smoke are more likely to have moderate to severe hot flashes

Types of Menopause

SPONTANEOUS MENOPAUSE

Naturally occurring onset of menopause begins on average at age 52. It typically
lasts four to eight years prior to a final period.

PREMATURE MENOPAUSE

When menopause occurs at age 40 or earlier, it’s premature. Early onset may be
due to medical conditions such as autoimmune, thyroid, ovarian and metabolic
disorders or resulting from a hysterectomy.

INDUCED MENOPAUSE

A temporary or permanent state, induced menopause may occur as a short-term
side effect to some cancer treatments. More commonly this occurs during a
hysterectomy when the ovaries are removed.

Diagnostic Testing

THE KEY TO YOUR DIAGNOSIS IS
ACCURATE MENOPAUSE ASSESSMENT.

We accurately assess your individual results to assure that your treatment plan is designed with your needs in mind. Several blood tests combined with your age, weight, personal symptoms and other factors are combined to determine the correct delivery method and dosage for you as an individual.

BLOOD TESTING

Full hormone evaluation provides valuable information as to the cause of your symptoms and provides a direction in replacing what hormones your body needs.

FSH

Follicle Stimulating Hormone determines the functioning of the pituitary gland that regulates ovarian secretion of estradiol. When elevated, FSH determines your menopausal status.

ESTRADIOL

Evaluating your level of estrogen that when abnormal (high or low) may be responsible for your symptoms.

TOTAL TESTOSTERONE

Determines the total testosterone that is in your bloodstream.

FREE TESTOSTERONE

Determines the amount of testosterone that your body has available to use.

PROGESTERONE

This hormone is also produced by the ovaries and may aid with sleep.

SHBG

Sex Hormone Binding Globulin (SHBG) determines the blood’s capacity to “bind” to your hormones possibly causing difficulty with absorption through your body.

DHEA-S

Evaluating your adrenal gland production and its role in fatigue.

TSH

Thyroid Stimulating Hormone determines thyroid function. Abnormalities can result in symptoms similar to menopause

Treatment Options

BIOIDENTICAL HORMONE REPLACEMENT THERAPY (BHRT)

Use of supplemental doses of hormones that have a chemical structure identical
to the hormones that the human body naturally produces.

CONSERVATIVE TREATMENT

Largely focused on lifestyle changes and non-hormonal medications to address
menopause symptoms.

ALTERNATIVE MEDICINE

Naturally occurring herbal treatment using black cohosh, red clover, dong quai, evening primrose, and other vitamin therapies. Sometimes, massage, acupuncture or relaxation techniques may be recommended.

Options for Delivery of Medications

PILLS OR CAPSULES

These are available in many
different dosages and brand names or can be compounded for you. Once your healthcare provider determines the dosage, the order is given to your pharmacist.

CREAMS

Creams are usually white in color and supplied to you in a jar or in a syringe. Your menopause specialist works with compounding pharmacies to determine a specific amount to be applied to the inner arms or thighs once or twice a day.

TROCHES

Troches are quite similar to a lozenge that you place between your cheek and gum and allow to dissolve.

PELLETS

Pellets are small, cylinder-compressed medications inserted under the skin. Nore Women‘s Health is expertly trained in menopause hormone pellet therapy.

VAGINAL SUPPOSITORIES

Vaginal suppositories are compounded by your pharmacist by heating the ingredients into a liquid form and then they are poured into a mold to form a suppository.

VAGINAL RINGS

Vaginal rings are pharmaceutically prepared and come in predetermined dosages.

Hormone therapy is intended to be used at the lowest dosage that is appropriate physiologically and for the shortest amount of time to control the symptoms of perimenopause and menopause in women whose quality of life is negatively affected. Our providers will develop a program especially for you and, when appropriate, will work with you to decide on the safest dosage and duration and the best individualized plan possible.

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