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Power Surge’s Menopause Survival Tips   Leave a comment

by Dearest

Women “pausing” in Power Surge often ask one another what remedies they’ve used to address their menopausal issues. I had the good fortune to be made aware of nutrition early on in life by my dearest friend and savvy mother, Anne, who went through a difficult menopause and prepared me for what to expect. The general consensus is that your menopause is likely to be similar to your mother’s menopausal experience.

I was astonished when she told me that she had menopause-related high cholesterol of 400, which she lowered only with soy lecithin — 40+ years ago. She’s 95 today. That’s when I started researching ways of naturally lowering cholesterol and exploring the many benefits of soy protein and isoflavones.

Realisitcally, like you, I do not live on vitamins alone. I don’t buy organic foods. I eat the wrong things more often than I should, and oftentimes the joints ache too much to exercise. Do the best you can because nobody can help YOU through this transition as much as yourself!

Read, educate yourself, ask questions and learn tips that will help you “survive” this transition of life.

Time-Tested TIPS from Power Surge. You’ll find specific remedies in the recommendations area.

Menopause is a time fraught with physical, hormotional and spiritual changes.

For those concerned with weight loss, perimenopause is hardly the time for strict dieting. You have enough on your plate already (no pun intended). It’s enough to cope with the extreme hormonal upheavals. However, one can and should try to observe the best eating and exercise habits because they can be extremely helpful during peri and postmenopause, and can help to eliminate many of the problems you experience and form the foundation for a healthy future. It’s wise to begin a mild strength-training program to prevent muscle and bone degeneration later in life.

Did you know that exercise is one of the most effective measures in lowering cholesterol? Lowering your LDL (the ‘bad’ cholesterol) and raising your HDL (the ‘good’ cholesterol) AND lowering your triglycerides, too!

Did you also know that a few minutes of exercise can stop a panic attack dead in its tracks? Reduce anxiety? Decrease and even eliminate depression? Exercise does more than boost your mood and energy level, it also has a long-lasting calming effect. You don’t need elaborate equipment or gyms. The best equipment you have is your own body. Studies show that people feel less anxious while they are exercising and then for the next several hours. You don’t need to do an hour of heavy aerobics. A review of dozens of studies determined that you need to exercise for only 20 minutes for this natural tranquilizer to kick in. It’s a known fact that the best exercise is walking — even a twenty minute walk a day. The important thing is “consistency.” So, if you do 20 minutes of exercise even three times a week, it can be instrumental in establishing optimal health and, yes, lessening the severity of menopausal symptoms.

Brown Bagging It! Increased anxiety, hyperventilating and even panic attacks are common complaints during the perimenopausal years. You’ll find numerous suggestions all over the site about how to handle anxiety/panic. Sure, there are herbs, vitamins, tranquilizers, antidepressants and the exercise mentioned above. However, Power Surge also recommends brown bagging it, especially in emergency situations. You ask, “What is brown bagging it?”

Get yourself a small paper bag. Squish (yes, squish) the top together as though you were going to POP IT! Take the gathered top part of the bag and place it tightly over your nose and mouth, preventing outside air from getting in. Now, inhale deeply! When you feel you can’t inhale anymore, inhale just a little… bit … more. Next, slowly… exhale … and when you feel there’s no breath left … exhale just a little … bit … more. Do this for no longer than 30 seconds and see how you feel. Should you feel light-headed, don’t continue. However, most people have no problems and can do this exercise for one minute. The idea behind this is that by breathing into the paper bag, you’re inhaling carbon dioxide, which serves as a relaxant to your body’s organs, rather than oxygen which acts as a stimulant. Therefore, this exercise can be excellent for palpitations, anxiety, hyperventilation and general stress. Carry a brown bag in your purse. Stick one in your car’s glove compartment. You’ll be amazed at how simple and effective this procedure is!

Speaking of palpitations, should they hit, try taking 500 mg. of magnesium. They say, “If it spasms, give it magnesium.” The same holds true for migraines. If you feel a migraine coming on, try 500 mg. magnesium. You’ll find more info about magnesium on the Recommendations page.

Take one aspirin tablet per day (325 mg., 1/2 a regular adult dose) as a natural anti-coagulant. Antiplatelet therapy reduces the risk of any serious vascular event by about one quarter; risk of non-fatal heart attack by one third, non-fatal stroke by one quarter, and vascular death by one sixth. If heart attack (or stroke) symptoms occur, take one aspirin immediately as its anti-coagulant effects can mean the difference between life and death.

Become more aware of nutrition — what you put into your body. The types of oils you use in cooking, the way you prepare your foods. Canola, Sunflower, Safflower and Olive oils are the best. Sunflower oil actually serves as a cleanser of your arteries to remove plaque and prevent more plaque from forming. Certain fats are good for your body, while others are bad.. As you are aging your skin, hair and nails are likely to become drier and more brittle and lose their natural oils. Moisturize your skin and deep-condition your hair. And eat lots of fruit and fiber.

Avoid processed foods, nicotine, caffeine, artificial sweetners and “junk” food. These are no-no’s for menopausal women. Try to cut down or, better yet, stop drinking carbonated drinks, especially diet sodas – and more especially, those made with aspertame (Nutrasweet). The carbonation can cause bloating. I can’t even begin to tell you what sort of side effects you can experience from aspertame and so many low-calorie foods are made with it. It wouldn’t surprise me if you stopped using aspertame and some of the symptoms you attributed to menopause disappeared.

Keep a journal. Journalling can be extremely useful. A suggestion — when you have a hot flash, mood swing, palpitations, bout of binge eating, sudden elevated anxiety, panic attack, or any number of repetitive behavioral problems, take a pen and paper (or treat yourself to an actual journal) and write down:

  1. What you were doing
  2. What you were thinking
  3. What you were feeling
  4. With whom you were interacting
  5. What they said to you
  6. What you ate just prior to the onset of the problem

… and anything else you can think of that might be useful in identifying your triggers.

By keeping a running journal of the ‘changes’ you experience, you’ll be able to identify those circumstances, foods, people, thoughts, activities that may have triggered the physical and emotional changes. Through examination, you can see if there’s a pattern to the emotional UPS and downs, you can utilize the process of elimination in pinpointing the cause of the problem! You can keep your own menopause blog/journal, a free feature when you sign up for the Power Surge Message Board.

Dress in thin layers. When a hot flash hits, you can peel off the top layer (without getting arrested) and wear cotton as it is the most absorbent and cool of all fibers.

Additional suggestions:

  • Drink a glass of cold water or juice at the onset of a flash
  • At night, keep a carafe or thermos of ice water or an ice pack alongside your bed
  • Use cotton sheets, sleeping garments, lingerie, and clothing to let your skin “breathe”

Believe it or not, one of the quickest remedies for hot flashes and sweats is in your own refrigerator. Open the freezer and pull out a bag of frozen vegetables. Place it on your face, neck, inner arms and wrists. It’s refreshing and often can thwart a hot flash instantly. When unanticipated hot flashes or sweats hit, especially while travelling, a handy item to have is a mini portable personal fan. I’ve kept one in my glove compartment since I started perimenopause. It’s inexpensive and effective. Remember, this isn’t a taboo subject any longer. There’s no need to be embarrassed. It’s a natural occurrence. So, use your frozen veggies, or whip out your hand fan and, uncomfortable as it may be, try to find the humor in it. Everyone else will, too.

Eat lots of garlic!. Garlic is excellent for blood pressure and cholesterol. You can also take garlic in in a gel tablet – odorless, too. Also, eat lots of broccoli. It’s loaded with phytochemicals, vitamins and contains the highest amount of antioxidants than any other vegetable. Stacked with protective compounds , such as isothiocyanates and sulforaphane, as well as indole-3-carbinol (I3C), a substance that is said to have anticancer actions, broccoli tops the list of ‘must serves’. The entire Brassica family of vegetables, (which includes Brussels sprouts, cauliflower, cabbage, Chinese cabbage, bok choy, kale and collard greens), contains a compound that activates certain enzymes in the human body to protect cells from genetic damage.

Try adding cinnamon and ground flaxseed to your morning oatmeal. It’s been discovered that cinnamon is very effective in lowering hyptertension. Ground flaxseed blends nicely with oatmeal and is one of the most important things you should take. Flax is good for your heart, for maintaining healthy cholesterol and triglyceride levels, one of the “good fats” our bodies need, has anti-carcinogenic properties to protect us from various forms of cancer. Flaxseed is an excellent source of fiber and especially Omega 3 Fatty Acids. A 2 tablespoon serving provides 2400 mg of Omega 3. Read more about flaxseed.

When our estrogen levels dip, our cholesterol levels often become elevated. It’s not something to be alarmed about, but it is something to take action to treat. Your health care practitioner may immediately suggest going on statins, such as Lipitor, Zocor, etc., to lower your cholesterol. Remember, this is probably a temporary condition and there are many ways to lower cholesterol naturally before resorting to prescription drugs — especially getting involved in a regular exercise programl. See Power Surge’s Recommendations.

Avoid fried, rich, spicy foods and too much sugar. As we go through the menopause transition, women are more likely to develop heartburn, acid reflux, gallstones, so avoid spicy and fatty foods.

You know how we suddenly develop cravings for chocolate? They’ve said that chocolate is the “feel good” food – probably raising seratonin levels. However, while it may make us feel good for a short while, chocolate and all sweets can bring on hot flashes, raise insulin levels, cause palpitations, anxiety and even depression in some, so while everyone’s exalting chocolate to the sky, remember it’s not good for every peri and postmenopausal woman.

Avoid toxic situations and people! Menopause can be likened to Murphy’s Law — whenever anything can go wrong, it does! Our patience is tested to the max while we’re coping with all these changes. It seems all our demons, every unresolved issue of our life, hits us right between the eyes during perimenopause. We each know at least one someone who pushes all our wrong buttons. If you know certain situations or people are invariably going to cause you grief, do everything within your power to avoid them. Avoid inconsequential arguments. Many women who have passed through Power Surge have discussed issues with anxiety and anger — oftentimes, inappropriate anger — even feelings of rage. This isn’t uncommon during perimenopause while our hormones are ebbing and flowing, up and down until we feel like an alien has taken over our body. There are simple things you can use from the breathing exercises above to taking lots of vitamin B, especially inositol, which is known as “nature’s own tranquilizer.” Many women are helped by using St. John’s Wort. It’s not only good for depression, but helps anxiety as well. You’ll find numerous suggestions on the Recommendations page and in the Being The Best You area of the site. There’s also a very helpful article, A surprising new health tip: When you’re angry, let it show. Here’s a helpful article about anxiety.

Let the light in. Turn down the noise. Find a quiet, peaceful place to regroup, or simply to read, to sew, to relax, to be free from all the stresses of the world. Perhaps you can use that time to boot up the computer and share with other women going through the same thing as you! And, DO turn off the news! One of the most contributing factors to high stress levels is watching the local news. Whether you live alone, or with your family, explain that you need some time and space for yourself. If they love you, they’ll understand what you’re going through. Explain that it has nothing to do with them, but that you simply need to tune out some of those things that cause you to feel worse.

The bottom line: LEARN TO P-A-M-P-E-R yourself!

Look at all the “TO DO” lists you’ve accumulated! I recetly printed out just one of my to do lists and ended up with 15 printed pages. You know as well as I that many of the notations on your to do list have been there for weeks, maybe months (maybe years). I could wallpaper my entire house with all the post-its scattered about my computer room/office. IF you must keep appointments organized, put them in your cell phone’s notepad. If you don’t want or can’t afford an expensive cell phone/PDA, you can purchase a less expensive PDA such as the Palm z22 PDA or the Palm Tungsten E2 100.

If you drink alcoholic beverages, do so in moderation (a glass of red wine daily is good for your health). Once I entered perimenopause, I had to stop enjoying my glass of red wine because of the havoc it wreaked on my body. If you smoke, stop, or, at least, cut down to a minimum. You already know why without my telling you.

Alcoholic beverages can contribute to hot flashes and palpitations, plus raise your triglycerides as alcohol is converted to sugar in the body. Sugar and alcohol are two of the worst offenders during perimenopause and elevated triglycerides is one of the greatest contributors to heart disease.

High carbohydrate foods can also cause hot flashes, palpitations, anxiety and depression, plus elevated insulin levels which can exacerbate menopausal symptoms, plus too many carbohydrates can cause weight gain.

For the nausea often associated with perimenopause and PMS, try a cup of boiling water with 2-3 tsp. of lemon juice (from concentrated lemon juice). Sip it slowly and it should work like a charm every time. Ginger is also supposed to be helpful. However, using ginger itself may cause stomach problems. They say to add ginger to food, but really, who wants to eat when they feel nauseous? I would also recommend drinking some warm ginger ale (soda). You can also try peppermint or camomille tea, but not too much (I still prefer plain water and lemon).

Try to keep your sense of humor. I’ve always said in Power Surge, the moment we lose our sense of humor about life in general is the moment that life becomes unmanageable.

If you’re dealing with hair thinning and/or loss, there are some excellent tips in Hair Loss and Thinning at Menopause.

If you’re suffering from dry skin and other midlife and/or menopause-related skin disorders, you’ll find good information and tips in Tips for Midlife Dry Skin. There’s additional information about vaginal dryness here.

It’s really okay after years of playing superwoman to take time for yourself. You’ll be amazed at how well everyone manages to get along without your constant attention. Take time to regroup. Make “quiet time” for yourself. Go for a walk. Learn meditation. Reacquaint yourself with your inner child! She’s yearning to be heard. Find that peaceful place within yourself that so many of us seem to sequester away at some point in our lives, perhaps during times of stress, confusion, fear, frustration and pain — just when we need it. In my moments of anxiety and stress, music has soothed me. I have found peaceful moments with the help of Power Surge friend, Christine Magnussen’s Harp recording, “On Wings Of A Dove.

Of course, medication has its place in treating various conditions — many specifically related to perimenopause and menopause. However, medication isn’t always the answer. Not all, but many of the answers may lie within you and, believe it or not, how you “translate” everything that’s happening in your body. Own your body. It’s within your power.

Read and understand. You want to know more about menopause – visit Educate Your Body. If you’re interested in complex medical abstracts the averge woman doesn’t understand, this is not the place for it. We strive to make information you need about this rite of passage — simple and understable. There are menopause primers all over the site. There’s a list of prestigious experts in the area of menopause and women’s health a mile long, all of whom have appeared in Power Surge to answer your questions. Learn from their wisdom. They all talk in plain language. Glance at all the wonderful praise that’s been bestowed upon Power Surge and you’ll know you’re in a safe and caring place.

Become friends with your body. Listen to the messages it gives you. Your body will instinctively tell you more about what’s going on, especially during peri and postmenopause, than test results –and you can learn how to instinctively respond to it. Remember, if you treat your body well during these transitional years, it will treat you well in return… and long down the road. Own your body!

Be sure to check out the transcript library and other areas of the site for more information on menopause symptoms, methods of treatment, recommendations and Ask The Experts areas. There’s also the comprehensive Power Surge Search Engine to find specific information on any subject you’re looking for.

And, by all means, if you want to commiserate with other women — women who truly understand what you’re going through, the Power Surge Message Board and Insta-chat are best places to find them!

Other good “starter” articles are,

Bioidentical Hormones, Bio-identical Hormones, Bioidentical Hormone Therapy, Bioidenticals, Natural Hormone Therapy for Menopause   Leave a comment

Natural Hormone Replacement Therapy (NHRT): If you are currently on or considering the use of Hormone Replacement Therapy (HRT) and you think individualized, natural HRT makes more sense than a “one-size-fits-all” approach, then you may want to look into naturally compounded, bio identical, plant-derived Hormone Replacement Therapy. Compounding is preparing medicines tailored to patients’ individual needs. Compounding is the preparation, mixing, assembling, packaging, or labeling of a drug as the result of a practitioner’s Prescription Drug Order based on the pharmacist-patient-prescriber relationship. Compounding offers patients their choice of drug, strength, dosage form, excipients, or lack of and can be decided on a case-by-case basis. This process allows for medical treatments that otherwise might not be possible.

With an individualized approach to hormone therapy, you can know exactly what your hormone levels are, compare the benefits vs. risks of all possible therapies, and choose the ideal replacement protocol to bring your hormones back to their proper balance. If your doctor is willing to prescribe conventional HRT, s/he should be more than willing to prescribe naturally compounded HRT.

Estradiol, the principal estrogen found in a woman’s body during the reproductive years, is produced by the ovaries. Estradiol is very effective for the symptomatic relief of hot flashes, genitourinary symptoms, osteoporosis prophylaxis, psychological well-being and reduction of coronary artery disease.

Because it is much more potent than estriol, it can be more effective for symptomatic relief than estriol. When Estradiol is replaced using a parenteral (sublingual, percutaneous, or transdermal) route, it is not subject to first pass metabolism by the liver, and therefore does no produce high levels of estrone. Using these routes of administration a woman can mimic the physiologic release of estradiol from the ovaries, thus receiving natural hormone replacement.


Estriol is the weakest of the three major estrogens. In fact it is 1000 times weaker in its effect on breast tissue. Estriol is the estrogen that is made in large quantities during pregnancy and has potential protective properties against the production of cancerous cells.

An important article in the 1966 Journal of the American Medical Association by H.M. Lemmon, M.D., reported a study showing that higher levels of estriol in the body correlate with remission of breast cancer. Dr. Lemmon demonstrated that women with breast cancer had reduced urinary excretion of estriol. He also observed that women without breast cancer have naturally higher estriol levels, compared with estrone and estradiol levels, than women with breast cancer. Vegetarian and Asian women have high levels of estriol, and these women are at much lower risk of breast cancer than are other women. Estriol’s anticancer effect is probably related to its anti-estrone properties-it blocks the stimulatory effect of estrone by occupying the estrogen receptor sites on the breast cells.

Estriol is the estrogen most beneficial to the vagina, cervix and vulva. In cases of vaginal dryness and atrophy, which predisposes a woman to vaginitis and cystitis, topical estriol is the most effective and safest estrogen to use. Because of this estriol is better than estradiol for the treatment of urinary tract infections.

None of the American drug products contain Estriol, so it is not available in most drug stores, although it has been used widely in Europe for over fifty years. Because estriol cannot be patented it does not hold much interest for the pharmaceutical industry. Its availability through compounding has caused its use to grow rapidly throughout the country.


Estrone is the estrogen most commonly found in increased amounts in post menopausal women. The body derives it from the hormones that are stored in body fat. Estrone does the same work that estradiol does, but it is considered weaker in its effects.


Biest is a combination of two estrogens: estriol and estradiol. It is most commonly found in a ratio of 80:20, estriol to estradiol. This combination allows for all of the protection of estriol while providing the cardiovascular and osteoporosis benefits along with the vasomotor symptom relief of estradiol.


Triest is a combination of three estrogens: estriol, estradiol and estrone. It is most commonly found in a ratio of 80:10:10, estriol, estradiol, and estrone. This combination is very popular and contains all of the three major circulating estrogens. It is slightly weaker in its effect when compared to biest. However, this can be compensated for by increasing the strength or by slightly changing the ratios.


Progesterone is produced by the ovaries and the adrenal glands in women and, in smaller amounts, in the testes and the adrenal glands in men. One of its most important functions is in the female reproductive cycle. Progesterone prepares the lining of the uterus for implantation of a fertilized egg, then helps to maintain it during pregnancy. If pregnancy does not occur it signals the uterus to shed this lining.

Progesterone also plays an important role in brain function and is often called the “feel good hormone” because of its mood enhancing and antidepressant effects. Optimum levels of progesterone can mean feelings of calm and well being, while low levels of progesterone can mean feelings of anxiety, irritability and even anger. Current research shows that progesterone may pay a role in the maintenance of the nervous system, the sense of touch, and motor function.


Pregnenolone is a superhormone that is key to keeping our brains functioning at peak capacity. Some scientists believe it is the most potent memory enhancer of all time. Perhaps what is even more amazing are the studies that demonstrate pregnenolone enhances our ability to perform on the job while heightening feelings of well-being. In other words, this superhormone appears to make us not only smarter but also happier.

Like the other steroid hormones pregnenolone is synthesized from cholesterol. In a complex series o steps, cholesterol is broken down into different steroid hormones as the body needs them. It is first synthesized into pregnenolone and used by the body in that form. What is not utilized undergoes a chemical change that “repackages” it into DHEA. DHEA in turns used by the body as DHEA and is also broken down into estrogen and testosterone. This chain of hormones is known as the “steroid pathway.” Because pregnenolone gives birth to the other hormones, it is sometimes referred to as the “parent hormone.”

Pregnenolone was studied extensively in the 1940s. It was shown to be beneficial in elevating mood, improving concentration, fighting mental fatigue, improving memory and relieving severe joint pain and fatigue in arthritis. Pregnenolone has vast therapeutic potential and is currently undergoing further studies in these areas.


Short for Dehydroepiandrosterone, DHEA is a steroid hormone distinguished from others by its unique chemical structure. DHEA is produced by the adrenal glands (located just above the kidneys) as well as by the brain and the skin, and is the most abundant steroid in the human body.

As newborns, we have an extremely high level of DHEA, but within a few days after birth, our DHEA level drops to nearly zero. Then between the ages of six and eight, we experience the even called “adrenarche” in which our adrenal glands begin to stir and gear up for puberty. At the same time our DHEA level begins to rise steadily and continues to rise until it peaks at around age twenty-five to thirty. From that point on in declines at a rate of about 2 percent a year, and we begin to feel the result of this decline in our mid-forties. By eighty our DHEA level is only fifteen percent of what it was when we were twenty-five. This drop in DHEA levels correlates dramatically with the signs and “symptoms” associated with aging.

DHEA is currently the focus of some of the most exciting medical research of this century. Researchers at distinguished medical centers all over the country are studying the properties and promise of DHEA. It is proving to be a potent protector against cancer. It protects against heart disease by lowering blood cholesterol and preventing blood clots. Studies also demonstrate that DHEA improves memory, strengthens the immune system, prevents bone loss, and may even protect us from diabetes and autoimmune disease. It has been shown to fight fatigue and depression; it enhances feelings of well-being and increases strength. DHEA alleviates symptoms of menopause, reduces body fat, and is even known to enhance libido.

Because DHEA is showing such tremendous promise in so many areas, and because of the limited amount of space provided here, we recommend further reading on the superstar of superhormones. An excellent resource for more information is the book “The Superhormone Promise” by W. Regelson, M.D., and Carol Colman.


Usually considered a male hormone or androgen, women also produce testosterone although in much smaller amounts than men do. Testosterone works differently in the bodies of men and women, but it plays a very important role in the overall health and well-being of both sexes. Often called the “hormone of desire” because of its powerful effect on libido, testosterone is also important in building strong muscles, bones, and ligaments as well as increasing energy and easing depression. Low levels of testosterone have been known to cause fatigue, irritability, depression, aches and pain in the joints, thin and dry skin, osteoporosis, weight loss, and the loss of muscle development.

As with all of the hormones, testosterone must be dosed properly to be effective without causing unwanted side effects. The dose in women is generally one-tenth that used in men. Because testosterone is not effective when it is taken orally it is usually prescribed as a topical gel, cream or as a sublingual tablet. Although testosterone was discovered more than sixty years ago, only very recently have we begun to fully understand and appreciate the power of testosterone.


HGH is one of many endocrine hormones, like estrogen, progesterone, testosterone, melatonin and DHEA, that all decline in production with age. While many of these hormones can be replaced to deter some of the effects of aging, HGH reaches far beyond the scope of any of these hormones. Not only does it prevent biological aging, but it acts to significantly reverse a broad range of the signs and symptoms associated with the aging process.

The decline of growth hormone with age is directly associated with many of the symptoms of aging, including wrinkling, gray hair, hair loss, decreased energy and sexual function, loss of muscle and increased body fat, cardiovascular disease, osteoporosis, and overall lower life expectancy.

The good news is that there is now clinical evidence which demonstrates that by replacing growth hormone we can dramatically reverse all of these symptoms. Although this may appear to be too good to be true, the more closely the scientific evidence is examined the more clear it becomes that everything that we associate with aging may be due totally or in part to the decline of HGH levels in our bodies.

Until recently, the only way to increase HGH levels in the body, was to use injectable HGH. These injections are very effective, although they are costly and difficult to use. Now, there are natural substances that have been well documented to increase growth hormone by stimulating the bodyís own production of HGH. According to researchers, these cutting edge natural secretagogues may have the ability to more closely mimic the bodyís youthful GH secretion patterns.

These natural substances which stimulate the body’s own production of HGH are known as secretagogues. They can be introduced into the body in two ways: orally or transdermally (topically applied to the skin).

The oral secretagogues are very popular and have shown to be very effective. They include such products as Pro-HGH®, Rejuvamin®, Rejuvamax® and Medi-Tropin®. Though effective, all of these except Medi-Tropin® are available without a prescription. Achieving consistent results with the oral products can be difficult due to changes in absorption from the stomach and the necessity for the stomach to be empty for four hours prior to use.

Trans-D Tropin ®

Trans-D Tropin ®, a transdermal product that is now available by prescription only, provides a very efficient delivery system and an ease of administration that leads to better patient compliance and consistent results. Trans-D Tropin ® is a natural complex which mimics growth hormone releasing hormone(GHRH). The transdermal delivery system allows frequent dosing, up to four times daily, which more closely resembles the body’s own natural response. Imitating this natural response results in an effective and superior release of the body’s own growth hormone.

Saliva Test for Hormones

Adequate levels and an appropriate balance of the steroid hormones (estradiol, progesterone, testosterone, DHEA, cortisol) are necessary for maintaining optimal health and well being in both females and males. This family of steroid hormones supports a wide range of essential physiological functions, including blood lipid balance, bone mineral density, fertility, sexuality, a general sense of well being, as well as certain aspects of brain functioning. The saliva test measures levels of specific hormones that are produced in the body, consumed as foods, dietary supplements or medication. Saliva yields a direct measure of “free hormone ” level and is comparable to that measured by blood. Also, timing of the test can be precisely controlled and levels can be determined at optimum times. Saliva testing provides a means to establish whether or not your hormone levels are within the expected normal range and it is simple and non-invasive. It is appropriate to monitor and titrate doses to minimize side effects and risks without compromising the benefits of replacement therapy.









Total Estrogens

Total Progestins

PyriLinks-D (urine sample)

* must be ordered by a physician

Medical insurance may pay for testing

Polycystic Ovarian Syndrome (PCOS)   1 comment

What is Polycystic Ovarian Syndrome (PCOS)?

PCOS is a health problem that can affect a womanís menstrual cycle, fertility, hormones, insulin production, heart, blood vessels, and appearance. Women with PCOS have these characteristics:

  • high levels of male hormones, also called androgens
  • an irregular or no menstrual cycle
  • may or may not have many small cysts in their ovaries. Cysts are fluid-filled sacs.

PCOS is the most common hormonal reproductive problem in women of childbearing age.

How many women have Polycystic Ovarian Syndrome (PCOS)?

An estimated five to 10 percent of women of childbearing age have PCOS.

What causes Polycystic Ovarian Syndrome (PCOS)?

No one knows the exact cause of PCOS. Women with PCOS frequently have a mother or sister with PCOS. But there is not yet enough evidence to say there is a genetic link to this disorder. Many women with PCOS have a weight problem. So researchers are looking at the relationship between PCOS and the body’s ability to make insulin. Insulin is a hormone that regulates the change of sugar, starches, and other food into energy for the body’s use or for storage. Since some women with PCOS make too much insulin, it’s possible that the ovaries react by making too many male hormones, called androgens. This can lead to acne, excessive hair growth, weight gain, and ovulation problems.

Why do women with Polycystic Ovarian Syndrome (PCOS) have trouble with their menstrual cycle?

The ovaries are two small organs, one on each side of a woman’s uterus. A woman’s ovaries have follicles, which are tiny sacs filled with liquid that hold the eggs. These sacs are also called cysts. Each month about 20 eggs start to mature, but usually only one becomes dominant. As the one egg grows, the follicle accumulates fluid in it. When that egg matures, the follicle breaks open to release the egg so it can travel through the fallopian tube for fertilization. When the single egg leaves the follicle, ovulation takes place.

In women with PCOS, the ovary doesn’t make all of the hormones it needs for any of the eggs to fully mature. They may start to grow and accumulate fluid. But no one egg becomes large enough. Instead, some may remain as cysts. Since no egg matures or is released, ovulation does not occur and the hormone progesterone is not made. Without progesterone, a womanís menstrual cycle is irregular or absent. Also, the cysts produce male hormones, which continue to prevent ovulation.

What are the symptoms of Polycystic Ovarian Syndrome (PCOS)?

These are some of the symptoms of PCOS:

  • infrequent menstrual periods, no menstrual periods, and/or irregular bleeding
  • infertility or inability to get pregnant because of not ovulating
  • increased growth of hair on the face, chest, stomach, back, thumbs, or toes
  • acne, oily skin, or dandruff
  • pelvic pain
  • weight gain or obesity, usually carrying extra weight around the waist
  • type 2 diabetes
  • high cholesterol
  • high blood pressure
  • male-pattern baldness or thinning hair
  • patches of thickened and dark brown or black skin on the neck, arms, breasts, or thighs
  • skin tags, or tiny excess flaps of skin in the armpits or neck area
  • sleep apnea – excessive snoring and breathing stops at times while asleep

What tests are used to diagnose Polycystic Ovarian Syndrome (PCOS)?

There is no single test to diagnose PCOS. Your doctor will take a medical history, perform a physical examópossibly including an ultrasound, check your hormone levels, and measure glucose, or sugar levels, in the blood. If you are producing too many male hormones, the doctor will make sure itís from PCOS. At the physical exam the doctor will want to evaluate the areas of increased hair growth, so try to allow the natural hair growth for a few days before the visit. During a pelvic exam, the ovaries may be enlarged or swollen by the increased number of small cysts. This can be seen more easily by vaginal ultrasound, or screening, to examine the ovaries for cysts and the endometrium. The endometrium is the lining of the uterus. The uterine lining may become thicker if there has not been a regular period.


How is Polycystic Ovarian Syndrome (PCOS) treated?

Because there is no cure for PCOS, it needs to be managed to prevent problems. Treatments are based on the symptoms each patient is having and whether she wants to conceive or needs contraception. Below are descriptions of treatments used for PCOS.

Birth control pills. For women who donít want to become pregnant, birth control pills can regulate menstrual cycles, reduce male hormone levels, and help to clear acne. However, the birth control pill does not cure PCOS. The menstrual cycle will become abnormal again if the pill is stopped. Women may also think about taking a pill that only has progesterone, like Provera, to regulate the menstrual cycle and prevent endometrial problems. But progesterone alone does not help reduce acne and hair growth.

Diabetes Medications. The medicine, Metformin, also called Glucophage, which is used to treat type 2 diabetes, also helps with PCOS symptoms. Metformin affects the way insulin regulates glucose and decreases the testosterone production. Abnormal hair growth will slow down and ovulation may return after a few months of use. These medications will not cause a person to become diabetic.

Fertility Medications. The main fertility problem for women with PCOS is the lack of ovulation. Even so, her husbandís sperm count should be checked and her tubes checked to make sure they are open before fertility medications are used. Clomiphene (pills) and Gonadotropins (shots) can be used to stimulate the ovary to ovulate. PCOS patients are at increased risk for multiple births when using these medications. In vitro Fertilization (IVF) is sometimes recommended to control the chance of having triplets or more. Metformin can be taken with fertility medications and helps to make PCOS women ovulate on lower doses of medication.

Medicine for increased hair growth or extra male hormones. If a woman is not trying to get pregnant there are some other medicines that may reduce hair growth. Spironolactone is a blood pressure medicine that has been shown to decrease the male hormoneís effect on hair. Propecia, a medicine taken by men for hair loss, is another medication that blocks this effect. Both of these medicines can affect the development of a male fetus and should not be taken if pregnancy is possible. Other non-medical treatments such as electrolysis or laser hair removal are effective at getting rid of hair. A woman with PCOS can also take hormonal treatment to keep new hair from growing.

Surgery. Although it is not recommended as the first course of treatment, surgery called ovarian drilling is available to induce ovulation. The doctor makes a very small incision above or below the navel, and inserts a small instrument that acts like a telescope into the abdomen. This is called laparoscopy. The doctor then punctures the ovary with a small needle carrying an electric current to destroy a small portion of the ovary. This procedure carries a risk of developing scar tissue on the ovary. This surgery can lower male hormone levels and help with ovulation. But these effects may only last a few months. This treatment doesn’t help with increased hair growth and loss of scalp hair.

A healthy weight. Maintaining a healthy weight is another way women can help manage PCOS. Since obesity is common with PCOS, a healthy diet and physical activity help maintain a healthy weight, which will help the body lower glucose levels, use insulin more efficiently, and may help restore a normal period. Even loss of 10% of her body weight can help make a woman’s cycle more regular.

How does Polycystic Ovarian Syndrome (PCOS) affect a woman while pregnant?

There appears to be a higher rate of miscarriage, gestational diabetes, pregnancy-induced high blood pressure, and premature delivery in women with PCOS. Researchers are studying how the medicine, metformin, prevents or reduces the chances of having these problems while pregnant, in addition to looking at how the drug lowers male hormone levels and limits weight gain in women who are obese when they get pregnant.

No one yet knows if metformin is safe for pregnant women. Because the drug crosses the placenta, doctors are concerned that the baby could be affected by the drug. Research is ongoing.

Does Polycystic Ovarian Syndrome (PCOS) put women at risk for other conditions?

Women with PCOS can be at an increased risk for developing several other conditions. Irregular menstrual periods and the absence of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Without progesterone, which causes the endometrium to shed each month as a menstrual period, the endometrium becomes thick, which can cause heavy bleeding or irregular bleeding. Eventually, this can lead to endometrial hyperplasia or cancer. Women with PCOS are also at higher risk for diabetes, high cholesterol, high blood pressure, and heart disease. Getting the symptoms under control at an earlier age may help to reduce this risk.

Does Polycystic Ovarian Syndrome (PCOS) change at menopause?

Researchers are looking at how male hormone levels change as women with PCOS grow older. They think that as women reach menopause, ovarian function changes and the menstrual cycle may become more normal. But even with falling male hormone levels, excessive hair growth continues, and male pattern baldness or thinning hair gets worse after menopause.