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jbjb{x{x Perimenopause Perimenopause is the
normal transition period between when we have regular menstrual cycles and the cessation
in menstrual cycles. So another way of saying this is that perimenopause is the time period
between fully functional ovaries and when our ovaries are no longer functional and are
no longer putting out hormones. Typically, this is going to happen for a woman in her
mid- to late forties. It can happen when she s younger, and it can happen when she s older.
But that s a pretty typical timeline mid-forties to late forties. Our ovaries are responsible
for the production of estrogen, progesterone, and testosterone. Our adrenals do make a little
bit of hormone they do make some progesterone and some testosterone, and we ll also get
a little bit of estrogen production from the fat cells in our body. But our ovaries are
the primary producers of our sex hormones. As ovarian function declines, the primary
thing that s dramatically going to stand out in perimenopause is the decline in progesterone.
A lot of the symptoms that women have during the perimenopause period really have to do
the bottoming-out of progesterone. Any time progesterone is low in relationship to estrogen,
we call this estrogen dominance. And estrogen dominance can set up many symptoms for women:
a woman might start to have a lot of anxiety; she might start to have a lot of irritability
or mood swings; she might notice that she s no longer sleeping well, or that she actually
has insomnia. She might have low libido. She might have symptoms that resemble PMS: she
might have things that look like breast tenderness, or her periods may actually become too frequent
or her bleeding could become very heavy. When a woman has these symptoms, she may go to
visit her doctor, and her doctor may end up giving her separate drugs for each of these
different symptoms. For example, she may be given a drug like Ambien for the insomnia,
she may be given Xanax for the anxiety; she may be given Prozac for the depression and
the problem is none of these drugs are actually addressing the root cause, which is that she
has a hormone deficiency or an imbalance. And in addition to not addressing the root
cause of the problem, she may actually experience side effects from the medications she s now
been put on. Some doctors recognize that these symptoms are related to low hormone levels,
or imbalanced hormone levels, and they ll choose to prescribe synthetic hormones like
oral contraceptives and Provera. Oral contraceptives are often used to help regulate irregular
cycles, and Premarin is often used to help bring up low estrogen levels, whereas Provera
is used to bring up low progesterone levels. There s another way of doing hormone replacement,
and that s with bioidentical hormones. Bioidentical hormones are plant-derived and under the microscope,
look identical to human hormones. The advantage of using bioidentical hormones is that all
of perimenopausal symptoms, and any symptoms associated with hormone deficiency or imbalance
will be alleviated without the side effects or symptoms of synthetic hormones. If a woman
is experiencing the symptoms I mentioned earlier, or thinks she s in perimenopause, I recommend
that she seek out a naturopathic doctor. A naturopathic doctor can take a thorough history,
perform a physical exam, and order appropriate labs. Labs would include blood, saliva, and
urine, and based on all that information, a naturopathic doctor can put together an
individualized treatment plan. A typical treatment plan that I would prescribe contains a section
on diet, lifestyle, supplements, and bioidentical hormones. In the diet section, I make recommendations
that a woman decrease her alcohol, caffeine, sugar, and refined foods. I also advise that
she increase the amount of whole, organic foods she s eating, and that she increase
her consumption of vegetables. I also advise that she increase the amount of fiber she
s taking in, and that she increase the amount of water that she s taking in to half of her
body weight in ounces per day. And under the lifestyle section, I recommend that 30-5 minutes
of some type of movement occur daily this is really important to help improve circulation
of blood and lymph. In the supplements section, I ll prescribe B vitamins, I ll prescribe
essential fatty acids like fish oil and evening primrose oil, I ll prescribe magnesium, and
I ll also prescribe vitamin E. these are essential nutrients for hormone regulation. If a woman
has a lot of stress in her life, I ll also put her on an adrenal support formula, and
if there s any indication that her liver needs support, I ll also put her on a liver support
formula. Finally, I prescribe a custom formulation of bioidentical hormones. The bioidentical
hormones are compacted into a cream base that my patients apply to their skin every day.
And after just a few short months, my patients experience a complete resolution of their
perimenopause symptoms. h(Kt gd(Kt :p(Kt Perimenopause Larry Cook Normal Larry Cook Microsoft Word
11.5.6 PICT`B MSWD Cambria Perim nopause Perimenopause is the ormal transition period between when
have regular menstrual cycles and t cessation nstrual cycles. another saying this is that
perimen time period etween fully functional ovaries n our ov ries longer functional longer
putting hormones. 9Typically, this is going to happen for a woman in her mid to late forti
*happen when she s younger, and it can happ n when older. pretty typical tim eline )!=forties
to late forties. Our ovaries are responsible for the .production of estrogen, progesterone,
and test sterone. adrenals make little bit of hormone they do make s esterone some osterone,
ll also get a little bi t of estrogen production from cells body. ovaries are the primar producers
ormones. As ovarian function de lines, the primary thing that dramatically stand out
in perimenopause decline proges erone. A lot of the symptoms that women have d ring perimenopause
eriod really have ttoming out Bof progesterone. Any time progesterone is low in relationship
to e trogen, call this estrogen domina estrogen dominance ymptoms for women: a woman mi start
have anxiety; might start have irritability or mood sw ngs; might notice that longer sleep
well, Ithat she actually has insomnia. She might have low libido. She might have symptoms
that resemble P might have things that like breast tenderness, periods may actually b
come frequent bleeding could very=When a woman has these symptoms, she may go to visit
her doct doct y end up giving her eparate drugs each these different symptoms. example,
she may be g drug like Ambien insomnia, given Xanax for the anxiety; given Prozac for depression
and the problem is none of these drugs actually ressing root cause, which that hormone deficiency
or imbalanc addition addressing root Ecause of the problem, she may actually experience
side effects from t medications s now been put on. Some doctors recogniz that these symptoms
related low ho mone levels, imbalanced hormone levels, they choose to prescribe synthetic
hormones li oral contraceptives Provera. Oral ontraceptives are often used to help regu
irregul ar cy les, Premarin often used help bring -up low estrogen levels, whereas Provera
is us bring gesterone levels. There s another way of doing replacement, that with oidentical
(hormones. Bioidentical hormones are plan ived under oscope, look Ridentical to human
hormones. The advantage of using bioidentical hormones is that *u*all of perimenopausal
symptoms, and any sy ptoms associated with hormone /deficiency or imbalance will be alleviated
with side effects or s mptoms synthetic hormones. +If a woman is experiencing the symptoms I
m ntioned earlier, thinks perimenopaus recommend that seek naturopathic doctor. ,naturopathic
doctor can take a thorough hist perform phys ical xam, order appropriate labs. Labs would
include saliva, urine, based University of Colorado Health Sciences Center Perimenopause
Title Microsoft Word Document NB6W Word.Document.8 ‘_4( Microsoft Word Document NB6W Word.Document.8
University of Colorado Health Sciences Center Perimenopause Title typi treatment plan would
pres ribe conta secti on on Perimenopause Larry Cook Normal Larry Cook Microsoft Word
11.5.6 PICTe MSWD Cambria Perimenopause is the ormal transition period between when have
regular menstrual cycles and t cessation nstrual cycles. another saying this is that perimen
time period etween fully functional ovaries n our ov ries longer functional longer putting
hormones. 9Typically, this is going to happen for a woman in her mid to late forti *happen
when she s younger, and it can happ n when older. pretty typical tim eline )!=forties
to late forties. Our ovaries are responsible for the .production of estrogen, progesterone,
and test sterone. adrenals make little bit of hormone they do make s esterone some osterone,
ll also get a little bi t of estrogen production from cells body. ovaries are the primar producers
ormones. As ovarian function de lines, the primary thing that dramatically stand out
in perimenopause decline proges erone. A lot of the symptoms that women have d ring perimenopause
eriod really have ttoming out Bof progesterone. Any time progesterone is low in relationship
to e trogen, call this estrogen domina estrogen dominance ymptoms for women: a woman mi start
have anxiety; might start have irritability or mood sw ngs; might notice that longer sleep
well, Ithat she actually has insomnia. She might have low libido. She might have symptoms
that resemble P might have things that like breast tenderness, periods may actually b
come frequent bleeding could very=When a woman has these symptoms, she may go to visit
her doct doct y end up giving her eparate drugs each these different symptoms. example,
she may be g drug like Ambien insomnia, given Xanax for the anxiety; given Prozac for depression
and the problem is none of these drugs actually ressing root cause, which that hormone deficiency
or imbalanc addition addressing root Ecause of the problem, she may actually experience
side effects from t medications s now been put on. Some doctors recogniz that these symptoms
related low ho mone levels, imbalanced hormone levels, they choose to prescribe synthetic
hormones li oral contraceptives Provera. Oral ontraceptives are often used to help regu
irregul ar cy les, Premarin often used help bring -up low estrogen levels, whereas Provera
is us bring gesterone levels. There s another way of doing replacement, that with oidentical
(hormones. Bioidentical hormones are plan ived under oscope, look Ridentical to human
hormones. The advantage of using bioidentical hormones is that *v*all of perimenopausal
symptoms, and any sy ptoms associated with hormone /deficiency or imbalance will be alleviated
with side effects or s mptoms synthetic hormones. +If a woman is experiencing the symptoms I
m ntioned earlier, thinks perimenopaus recommend that seek naturopathic doctor. ,naturopathic
doctor can take a thorough hist perform phys ical xam, order appropriate labs. Labs would
include saliva, urine, based that information, a n turopathic doctor together individuali
treatment pla jbjb{x{x Perimenopause Perimenopause is the normal transition period between when
we have regular menstrual cycles and the cessation in menstrual cycles. So another way of saying
this is that perimenopause is the time period between fully functional ovaries and when
our ovaries are no longer functional and are no longer putting out hormones. Typically,
this is going to happen for a woman in her mid- to late forties. It can happen when she
s younger, and it can happen when she s older. But that s a pretty typical timeline mid-forties
to late forties. Our ovaries are responsible for the production of estrogen, progesterone,
and testosterone. Our adrenals do make a little bit of hormone they do make some progesterone
and some testosterone, and we ll also get a little bit of estrogen production from the
fat cells in our body. But our ovaries are the primary producers of our sex hormones.
As ovarian function declines, the primary thing that s dramatically going to stand out
in perimenopause is the decline in progesterone. A lot of the symptoms that women have during
the perimenopause period really have to do the bottoming-out of progesterone. Any time
progesterone is low in relationship to estrogen, we call this estrogen dominance. And estrogen
dominance can set up many symptoms for women: a woman might start to have a lot of anxiety;
she might start to have a lot of irritability or mood swings; she might notice that she
s no longer sleeping well, or that she actually has insomnia. She might have low libido. She
might have symptoms that resemble PMS: she might have things that look like breast tenderness,
or her periods may actually become too frequent or her bleeding could become very heavy. When
a woman has these symptoms, she may go to visit her doctor, and her doctor may end up
giving her separate drugs for each of these different symptoms. For example, she may be
given a drug like Ambien for the insomnia, she may be given Xanax for the anxiety; she
may be given Prozac for the depression and the problem is none of these drugs are actually
addressing the root cause, which is that she has a hormone deficiency or an imbalance.
And in addition to not addressing the root cause of the problem, she may actually experience
side effects from the medications she s now been put on. Some doctors recognize that these
symptoms are related to low hormone levels, or imbalanced hormone levels, and they ll
choose to prescribe synthetic hormones like oral contraceptives and Provera. Oral contraceptives
are often used to help regulate irregul

4 thoughts on “Bioidentical Hormones for Perimenopause Symptoms and Treatment by Dr. Angela Agrios, ND

  1. I love you for you advise, because I'm perimenopausal and experiencing anxiety disorder. I went to see my family Dr. he prescribed me Zoloft, I refused, I ask if he can refer me for E.B.Therapy. He referred me to a psychiatric and I met such a rude nurse practitioner she said I'm bipolar and need Prozac. She upsets me and left her office. Then I went to my Obgyn, he said I'm just simply perimenopausal but need to be on Zoloft. I just said Thank you very much but not for me.

  2. Can bio identical hormones help innerstial cystitis? I have extreme ic one ulcer in my bladder that could not be removed. I had a full hysterectomy because of really bad issues. I take premerian I take pills for sleep and anxiety and depression. But I just want the bio identical hormones. I can't afford a natural pathetic Dr. But I have a urologist who will help how do u order?

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