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Category Archives: Hormone Replacement Therapy
Posted: September 6, 2017 at 5:44 pm
Dr. Donna Block opened Clinic Sofia in Edina in 2004 to nurture women to stay healthy and strong for their families and their community. (Submitted photo)
Clinic Sofia provides care for women
By Cynthia ParsonsContributing Writer
In 2004, when Dr. Donna Block founded Clinic Sofia, an OBGYN clinic, she envisioned a better approach to womens health care by giving women the nurturing, insight and guidance they need from adolescence to obstetrics to menopause and beyond.
Named after the Greek goddess of wisdom, Clinic Sofia focuses on women because they are the primary pivot point in their family.
We offer a non-judgmental environment that welcomes and provides answers to questions, Block said. We give you the tools to stay healthy. We provide a safe and healthy culture. I get women who have been elsewhere who were treated rudely by the front desk with no eye contact.
At Clinic Sofia, we are engaging and calm, Block continued. We are welcoming from the front desk to the back of the clinic. Focus is on our patients needs, and patients dont feel rushed. If you have an ultrasound, for example, we go over the results right away.
The Edina clinic recently ranked sixth among all medical clinics in Minnesota for patient satisfaction (according to the August 2017 Minnesota Community Measurement Survey).
Dr. David Clay, Dr. Erin Stevens and Dr. Deborah Krahl recently joined the growing team at Clinic Sofia. Between Edina and Maple Grove (which opened in 2012), they have six physicians, one nurse practitioner, one physicians assistant, three ultrasonographers, three nurses, phlebotomists and medical assistants.
Clinic Sofia makes it their mission to offer personalized care in a welcoming setting. The clinics offices are very serene, feminine and calming. Same day appointments are available, and they accommodate patients schedules as best they can. The clinic also offers functional medicine consulting, which demonstrates how in tune they are with meeting the comprehensive needs of todays women.
In functional medicine, we see the body as an interconnected whole, within a larger environment, Physician Assistant Allie Nowak said. We recognize that in order to treat one part of the body, all parts need to be considered.
The types of patients and conditions Nowak sees for consultation include: polycystic ovary syndrome, perimenopause, menopause, thyroid disorders, fertility, anxiety and depression.
Functional medicine aims to address the root cause of disease rather than symptom management and emphasizes preventative health.
We look at lifestyle changes and a patients biochemical background, Block said. We look at the genetic profile of each person. There might be a gluten sensitivity or sugar interference or fructose intolerance in food digestion. We look at how the body uses nutrients. We recommend folate acid and not folic acid. Folate is more bioavailable and helps a developing baby and you.
Block also provides hormone replacement therapy, which is very individualized. She might try nutrition first. She suggests getting rid of too much sugar in the diet or reducing processed foods and moving towards organic foods and adding exercise and stress reduction. Physician Assistant Allie Nowak loves how functional medicine looks at each patient through an individual lens to promote optimal wellness. (Submitted photo)
Practicing since 1987, Block is trained in Western medicine but also recommends other alternatives such as acupuncture to increase fertility. Block doesnt understand how it works but she has seen it work in her patients. Fifty percent of the time, women primarily come to the clinic for overall general health and examination with gynecology. The other 50 percent of the time, women come in with high-risk pregnancy, normal pregnancy, miscarriages, bleeding, decreased libido, hair loss and fertility issues.
Block services a wide variety of age groups from 17 years old to 80 years old, and she recommends women continue to have a gynecological exam every year, even after menopause. That way, patients have a greater chance for detection of cancer of the uterus, outside of the labia, vagina, fallopian tubes, breast lumps or HPV.
Block stressed that all Clinic Sofia employees nurture women to stay healthy so they can take care of their loved ones. Healthy women form a strong society from the home to the community, she said.
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Edina clinic ranked in top 10 in state – The Sun Current
Posted: at 5:44 pm
NICE guidelines on menopause
Guidelines from the National Institute for Health and Care Excellence (NICE) offer a unique perspective on diagnosis and management of menopause, designed to help women stop suffering in silence. Aimed at health care providers in the UK but also relevant to US ob/gyns, the recommendations focus on ways to determine if menopause has started, what drug and non-drug options might be useful for a patients physical and psychological symptoms, and clarifying the risks and benefits of hormone replacement therapy (HRT).The NICE Guideline: Diagnosis and Management of the Menopause contains 10 key messages:
Management of estrogen deficiency needs to be individualized because women respond differently to the condition and to treatment for it.
Inappropriate use of testing of FSH for diagnosis of menopause in women older than age 45 should be eliminated. The testing is rarely required and expensive.
Women need information about menopause in a variety of formats. Key topics for counseling include the stages and consequences of menopause and about use of contraception during perimenopause.
For management of symptom sof menopause, diet and lifestyle should be considered. HRT should be offered for vasomotor symptoms with full consideration of benefits and risks. Clonidine or antidepressants should not be routinely offered.
Women with a history of breast cancer should be counseled about all treatment options for menopausal symptoms. Those taking tamoxifen should not be given fluoxetine orparoxetine.
Vaginal estrogen can be used longterm in patients with urogenital atrophy due to estrogen deficiency. It can also be considered for women who are not candidates for HRT because of medical conditions.
Follow-up with a health care provider is recommended 90 days after a patient starts HRT and annually thereafter. Referral to a provider with experience in menopause may be necessary for a patient with a complex medical history.
There should be no arbitrary limits for duration of use of HRT. Healthcare providers should provide support for women who want a trial cessation of HRT to see if they still need it to control their symptoms.
Benefits and risks of HRT vary from patient to patient and are strongly influenced by baseline risk, which is affected by diet, lifestyle, and past medical and family history.
Blood tests should be used to confirm premature ovarian insufficiency(POI). For women with POI, HRT or combined oral contraceptives are appropriate at least until they reach the average of menopause.
NICE is an independent body responsible for driving improvement and excellence in the UK health and social care system. The organization develops guidance, standards and information on high-quality health and social care and advises on ways to promote healthy living and prevent ill health.
The NICE guideline on menopause for health care providers is available at http://www.nice.org.uk/guidance/NG23.
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Menopause updates – ModernMedicine
Posted: September 5, 2017 at 9:40 pm
Hormone therapy (HT) is one of the government-approved treatments for relief of menopausal symptoms. These symptoms, caused by lower levels of estrogen at menopause, include hot flashes, sleep disturbances, and vaginal dryness. HT is also approved for the prevention of osteoporosis. Today, clinicians prescribe much lower doses for much shorter terms (3-5 years) than before 2002.
To begin this discussion about the benefits and risks of menopausal HT, here is some background information.
There are three benchmark stages of natural menopause:
There are two basic types of HT:
There are two general ways to take HT:
Current prescribing practice:
Begin HT with the lowest effective dose for the shortest amount of time consistent with their individual goals. The benefit-risk ratio is favorable for women who initiate HT close to menopause (ages 50-59, typically) but becomes riskier with time since menopause and advancing age.
Women with early menopause before age 40 without a history of breast cancer risk can take HT until the typical age of menopause at 51 if there is no reason not to take it.
Clinicians will recommend an individualized plan for each woman. There is no one size fits all therapy.
Literally hundreds of clinical studies have provided evidence that systemic HT (estrogen with or without progestogen) effectively helps such conditions as hot flashes, vaginal dryness, night sweats, and bone loss. These benefits can lead to improved sleep, and sexual relations, and quality of life.
The primary indications for HT are hot flashes, night sweats, vaginal dryness, and prevention of osteoporosis.
In order to minimize serious health risks, HT is recommended at the lowest effective dose for the shortest time period. The real concern about hormone safety is with long-term use of systemic ET or EPT.
As a result of the Womens Health Initiative (WHI) trial in 2002, the US Food & Drug Administration and Health Canada require all estrogen-containing prescription therapies to carry a black box warning in their prescribing information about the adverse risks of HT. Although only two products were studied in the WHI, Premarin and Prempro, the risks of all HT products, including natural bioidentical and compounded hormones, should be assumed to be similar until evidence shows otherwise.
Most of the risk of breast cancer is associated with EPT. Both ET and EPT have been associated with stroke and an increase in blood clots in the veins. These risks are higher in women over age 60.
For women with a uterus, progestogen must be prescribed along with estrogen to protect her against uterine cancer.
There is no single way to ensure the best possible quality of life around menopause and beyond. Each woman is unique and must weigh her discomfort against her fear of treatment. Risk is defined as the possibility or chance of harm; it does not indicate that harm will occur. Generally, HT risks are lower in younger women than originally reported in all women ages 50 to 70 combined. It is now believed that women taking estrogen alonewomen who have had their uterus removed by a hysterectomyhave a more favorable benefit-risk profile than those taking EPT. This is especially true for younger menopausal women (in their 50s or within 10 years of menopause) than for older women.
Medical professionals have modified their views about the role of hormones as more research has been conducted. Experts agree that there is much they still have to learn. Although recent studies such as the WHI have provided some clarity for large populations, they dont necessarily address all of the issues an individual woman faces. Only she, with the counsel of her healthcare providers, can do that.
Many factors will be part of a womans decision to use a particular hormone producther age, her risks, her preferences, available treatment options, and the cost of the product. Do her potential benefits outweigh her potential risks? Only after examining and understanding her own situation and after a thorough consultation with her clinician can a woman make the best treatment choice. As new therapies and guidelines are available, and as a womans body changes over time, reevaluation and adjustments should be made.
For more information, continue to visit this website where the latest reports about menopause and HT are regularly discussed.
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hormone replacement therapy – North American Menopause …
Posted: at 9:40 pm
Sexual hormones have a pervasive effect on our mental, emotional and physical function.
They regulate sexual maturity and function as well as physical development, and they also act as neurotransmitters and can affect mood, mental and emotional processes.
Such common symptoms as depression, insomnia, and anxiety can be associated with sexual hormone levels.
Living in a Sea of Estrogen. Common Xenoestrogens; Factor in increased incidence of breast cancer:
** MANY SYMPTOMS THAT ARISE DURING MENSTRUAL CYCLE OR MENOPAUSE ACTUALLY RELATE TO CONSTITUTIONAL ISSUES: DEFICIENCY, LIVER EXCESS, ETC.
Herbs with clinical, scientific, and historical use for hormone-regulation.
Useful for assisting the body to maintain proper hormone levels and function.
Table: The Benefits of the Use Of Vitex In Comparison to HRT
Table 1. Overview of Commonly-Recommended Hormonal Herbs
PMS Liver regulators, Hormone regulators, Antispasmodics, Pain-relieving herbs, Mood Regulators
Menopause Blood tonics, Liver regulators, Hormone tonics
Anemia Blood tonics, digestive bitters and digestive tonics to enhance assimilation
2000 Christopher Hobbs L.Ac., A.H.G
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Hormone Replacement Therapy and Natural Alternatives Dr …
Posted: at 9:40 pm
(Reuters Health) – Using vaginally applied estrogen to ease menopause symptoms likely doesnt increase a womans risk of heart disease or certain cancers, a U.S. study suggests.
Many women have been reluctant to use hormone replacement therapy (HRT) for menopause symptoms since 2002, when the federally funded Womens Health Initiative (WHI) study linked pills containing man-made versions of the female hormones estrogen and progestin to an increased risk for breast cancer, heart attacks and strokes. Some women have also been reluctant to use vaginally applied estrogens, which can ease symptoms like dryness and painful intercourse.
For the current study, researchers examined data on 45,663 women in the WHI study who didnt take HRT pills. After an average follow-up of more than six years, there wasnt a meaningful difference in the odds of cancer, stroke or blood clots based on whether or not women used vaginal estrogen.
The results of the study suggest that the use of vaginal estrogen may not actually carry the same health risks as the use of estrogen pills, said lead study author Dr. Carolyn Crandall of the David Geffen School of Medicine at the University of California, Los Angeles.
These results are reassuring, Crandall said by email.
Women go through menopause when they stop menstruating, typically between ages 45 and 55. As the ovaries curb production of the hormones estrogen and progesterone in the years leading up to menopause and afterward, women can experience symptoms ranging from irregular periods and vaginal dryness to mood swings and insomnia.
Study participants who used vaginal estrogen were less likely to be black or African-American, Hispanic, current smokers, diabetic or obese. They were also more likely to be white and college graduates with household income of more than $100,000 a year.
Compared with women who didnt use vaginal estrogen, women who did had a 48 percent lower risk of heart disease and 60 percent lower odds of hip fractures, researchers report in Menopause.
When researchers looked just at women who still had a uterus, the results looked even more favorable for vaginal estrogen users.
Among women who had not had their uterus removed, vaginal estrogen users were 61 percent less likely to have heart disease, and 60 percent less likely to have a hip fracture than women who didnt use vaginal estrogen.
The study wasnt a controlled experiment designed to prove whether or how vaginal estrogen might influence the odds of heart disease, cancer or other health problems.
Another limitation of the study is that researchers lacked data on different types of vaginal estrogen, so they couldnt tell whether one form might be best for avoiding cancer or heart disease.
Even so, the findings should reassure women, said Dr. Michelle Warren, medical director of the Center for Menopause, Hormonal Disorders and Womens Health in New York City.
This shows that it is perfectly safe for any woman to take low-dose vaginal estrogen, Warren, who wasnt involved in the study, said by email.
Some women who have avoided vaginal estrogen because they thought it was just as risky as pills may now be able to get relief for previously untreated menopause symptoms, said Dr. Michael Thomas of the University of Cincinnati Academic Health Center in Ohio.
A study like this allows women to safely use a form of estrogen that will help their (vaginal) symptoms, Thomas, who wasnt involved in the study, said by email. They can have intercourse without pain and feel safe they are not risking their life.
SOURCE: bit.ly/2eI0A6R Menopause, online August 14, 2017.
Posted: at 9:40 pm
For transgender athletes, deciding when to pursue a medical transition is deeply personal. Because medical transitioning involves changing sex hormones, athletic performance is almost immediately affected when treatment begins. Last March, Harrison Browne, the first transgender athlete to ever play professionally, announced his retirement from the NWHL in order to pursue testosterone therapy to bring his body into more alignment with his gender identity. Just recently Browne made a second announcement, letting his fans know that hed decided to come out of his brief retirement and would be back for at least one more season, signing a contract with the New York Riveters.
For Browne, it was not a decision that came easy. As the summer wore on, Browne didnt start the hormone therapy that would have made him ineligible to play under the NWHLs new transgender participation policy. In an interview for The Ice Garden, Browne explains that instead he found comfort in his usual training routine.
I felt like I had been doing it my whole life, so i just kept going in the gym and on the ice. I felt like I had more hockey to play, I still felt like my game was still good and I was happy with the way I was playing, Browne said.
Brownes thought process makes intuitive sense for any athlete. After all, who would willingly choose to walk away when their game still feels sharp?
Trans athletes, however, have other calculations to make in their careers. Because of the direct influence that testosterone has on athletic performance, pursuing a medical transition is especially disruptive to the careers of trans athletes. As a former closeted athlete myself who grew up in a time when trans people were not welcome on the field, I had to decide between the sports I loved and my gender.
The field or court was my only refuge from my dysphoria. When I was playing, there was just the ball, my opponents, and my teammates. I wasnt a boy or girl, I was just an athlete. When forced to choose between my gender and sports, I chose sports. That decision ended up costing me 20 years of living my authentic life.
Professional athletes tend to have a special relationship with their bodies, but for trans athletes, its a juxtaposition. The bodies that provide them with their passion for their sport, in some cases providing an education or even a living, also betray them in very fundamental, gendered ways. It can be a love-hate relationship between a trans athlete and their body.
And for Browne, his decision to come back was deeper than just how well his training was going.
I thought that the message that I could put out there, living your life authentically, would be more powerful as an active athlete, Browne said. I felt that I didnt really give enough time to let it blossom into what it could be, so I thought that I could come back and do even more good than I already have.
Hes confident in his decision and feels confident that he can keep his gender dysphoria at bay and be a productive player for the Riveters.
According to Browne, just being able to come out last season and have people use his correct name and pronouns were enough to alleviate a lot of his dysphoria. Having shed the closet, he was able to focus more on hockey and his LGBTQ advocacy while helping the Beauts win the Isobel Cup just five days after announcing his retirement.
Caitlyn Jenner had the chance to complete her playing career long before transitioning, but for many trans athletes today, transitioning means an end to their official playing days. Browne himself admits that having a go in mens hockey would be a tough sell, citing his size at 55.
At the same time Browne came out publicly last year, the NWHL introduced a new transgender participation policy.
The policy itself states that trans women (who were assigned male at birth), must have testosterone at the level of a cisgender female in order to be eligible, while trans men like Browne can compete given they havent started hormone replacement therapy with testosterone.
The NWHL partnered with the You Can Play project to develop their new policy, a move that Browne praised.
You Can Play did a really good job in helping the NWHL in language and how to approach it. They are experts and its good that the league brought them.
The policy itself mimics the current Olympic and NCAA trans inclusion policies in that it has very clear and fair standards for athletes to meet. More importantly, however, the policy and the warm welcome that Browne received for coming out last year both work to ensure that even fewer trans athletes will have to make the difficult decision between living their authentic selves and their athletic careers.
While Browne has received overwhelming support from his teammates, fans, and the league, its hard to say how people would react to a trans woman who wants to play womens professional hockey. Very few trans women have ever pursued professional athletics before, and the public ridicule faced by the likes of Fallon Fox and Renee Richards would be a difficult obstacle to overcome for any trans woman thinking about dipping her toe in the waters of pro womens sports. Browne, however, says theres a lot of ignorance surrounding the science of hormones and athletics and hopes that the leagues fans would welcome a trans woman with open arms.
People are really ignorant to what being transgender means and obviously Im still in a female body and havent undergone hormone therapy but I still see people who think I have and I get criticized for that, Browne said. People wouldnt understand the androgen (testosterone) blockers that trans women take. They dont understand that theres no advantage when you have [blockers] in your body.
A medical transition would mean the end of Brownes playing career, so finding that right balance between making his body right finally at 24 and the game he loves is key.
Its tough. Its a really big crossroad that people dont have to deal with and people dont really understand what that means, Browne said. Its fine when Im at the rink, its fine when Im talking with people that know my story who know what to call me but its difficult when I go out in public life and people dont really know how to address me. I enjoy hockey and I love helping people and reaching out to people. I can deal with that a little bit longer in the public eye.
So with his medical transition on the backburner, it feels like the start of just another season for Browne, whos looking forward to being in a new environment and meeting his new teammates and seeing how they all click. For now though, Browne is just ready to get back out and play hockey again, and maybe thats the most important thing, in the end.
Its so rare to have a positive public example of a trans athlete who we can look up to and learn from, but Browne definitely fits the bill. My mind goes back to my own adolescence, growing up thinking I was all alone as a trans athlete, dreading the day Id have to choose between my passion for sports and being true to my own self. All of those sleepless nights add up. What I would have given for a role model to show me that the life I dreamt about was even possible.
At the end of the day, thats going to be the real impact of Harrison Brownes legacy.
Posted: September 2, 2017 at 7:40 am
An Alberta advocacy group is calling for a change in the way the province provides hormone replacement therapy for transgenderindividuals, describing the system as one that treats theiridentity as unhealthy.
The current system has created unequal barriers forpatients to gain access to hormone replacement therapy, said SandraAzocar, the executive director of Friends of Medicare.
“Right now, what we are practising is the psychiatric model that requires the health care professionals to diagnose a psychiatric condition before providing the hormone replacement therapy,” said Azocar.
“They’re forced to basically receive a pathological diagnosis, then undergoextensive counseling or even dangerous real-life experience where they have to live in the preferred gender role.”
That’s not how everyone gets assigned hormone replacement therapy, she added.
Hormone replacement therapy can be used to treat the symptoms of menopause, without the need for a psychiatric diagnosis.
“So basically what we’re saying is trans-identities are identitiesand not a pathological condition andpeople should be receiving the medication that they need.
“The principles of medicare are based on equal access for all, regardless of the contents of your wallet or if you’re a trans person in this country Andthat’s why we’re concerned about the health disparities and discriminatory practices faced by trans people in Albertawhen it comes accessing hormone replacement therapy.”
According to Azocar, Alberta’spolicy described as a gate-keeping model that can resultin wait times of up to two years to begin treatment runs contrary to the informed consent model practised in places such as Vancouver and Chicago.
It would also save the health care system money to move toinformedconsent.
“Costs for psychiatrist and endocrinologist referrals would be avoided, a win for a government looking to ‘bend the cost curve’ in health,” saidAzocar.
“We also know moving to aninformedconsentmodel is a manner of harm reduction, as trans patients who do not get medication when they need it may seek out street drugs or engage in self-harm and even commit suicide. We can save lives by removing these barriers.”
Posted: at 7:40 am
At some point in a woman’s life she will go through the life transition of menopause. Menopause is when a woman has not had a menstrual cycle for one year. It is a normal condition all women will experience as they age and will mark the end of her reproductive years.
Some women will be well-versed on what will happen and what to expect while other women may have little knowledge on how this change will affect her.
Every woman’s encounter with this phase of life is unique. For some, they may have few and relatively minor symptoms, while other women will have a much more dramatic journey of extreme hot flashes, weight gain, or vaginal dryness.
No matter how menopause treats a woman, there are certain things they should know before they enter this new chapter, and things they should discuss with a healthcare professional who can guide them through menopause to make the transition as smooth as possible.
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Here are 10 questions every woman should ask about the change of life:
1. At what age will I go through menopause?
This is a hard question to answer definitively as all women are different. But the majority of women will stop having periods somewhere between ages 45 to 55, with the average age of menopause being 51.
Menopause can start years before a woman may even notice any changes. Some women may go through this change in their early forties, while others may not even begin the stages of menopause until their mid- to late fifties.
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What determines which age a woman will go through menopause is often her genetics. Most women will tend to begin this phase around the same age as their mother or sisters. But other factors play a role, such as smoking or chemotherapy, which can accelerate ovary decline, resulting in early menopause.
2. How is perimenopause different from menopause?
Perimenopause is the period of a woman’s life shortly before the occurrence of menopause. A woman’s body will begin the process of menopause, meaning the hormone production from the ovaries is beginning to decline.
For some women, this is when they may first experience hot flashes or notice that their menstrual cycle is becoming irregular and different than it used to be. Once a woman has completely stopped having a menstrual cycle for 12 consecutive months, she has entered into menopause.
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3. What kind of symptoms do women have during menopause?
The most common symptom experienced by 75% of all women during menopause is hot flashes. Hot flashes can occur out of nowhere day or night and have been described as a sudden feeling of feverish heat. In addition, some women also experience muscle and joint pain known as arthralgia, and mood swings.
Whether these changes are completely due to menopausal hormonal changes or perhaps simply the aging process itself is unknown.
4. Do all women experience hot flashes the same way?
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Each woman may have her own special way of describing a hot flash but generally they feel like your body temperature has risen. They often affect women from the waist up and for some their skin can turn red in color or become blotchy. When they happen, women may also experience sweating, heart palpitations, and feelings of dizziness.
Hot flashes often have no rhyme or reason as to when they occur. They can happen daily and even multiple times a day. Some women only have hot flashes for a few months or up to a year while others may have to suffer with them for years.
To effectively deal with hot flashes, here are some tips:
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5. Does menopause affect bone health?
One chronic medical condition women are prone to is the brittle bone disease of osteoporosis. During menopause, a woman’s estrogen production declines. This affects the amount of calcium in the bones leading to a possible significant decrease in bone density.
Osteoporosis makes a woman more susceptible to hip, spine, and other bone fractures since in the first few years after the last menstrual period, many women will have accelerated bone loss.
To prevent or at least slow down the development of osteoporosis, here are ways to keep bones healthy:
6. Does menopause increase the risk of heart disease?
It is possible that certain conditions related to the heart can occur during menopause. These would include dizziness or heart palpitations. As estrogen levels decline, arteries may become less flexible which can reduce blood flow. It is very important for a woman to pay attention to eating a nutrient dense diet, to exercise and to avoid smoking, all helping to reduce her chance of developing heart disease.
7. Why do some women gain weight during or after menopause?
The biggest factors that tend to determine if a woman gains weight during this time can be attributed to changes in hormone levels but also aging as well. Once again, focusing on choosing healthy foods, regular exercise, sufficient sleep, and steps to reduce stress can all have a positive impact on preventing excess weight gain.
8. Do women who’ve had a hysterectomy know if they are going through menopause?
If a woman had her uterus surgically removed through a hysterectomy, she may not know if she is going through menopause unless she experiences hot flashes.
Another procedure some women may have is called endometrial ablation, which is the removal of the lining of the uterus as a treatment for heavy menstrual cycles. They also may not know if they are going through menopause.
To determine if the ovaries are functioning or not, a blood test can be done. The blood test will tell a doctor what a woman’s estrogen levels are and if she has transitioned into menopause.
9. Is hormone replacement safe for managing menopausal symptoms?
There can be risks and benefits from using hormone replacement therapy and every women needs to consult with her doctor on what is right for her. Much of the decision is based on the severity of hot flashes, bone loss and a woman’s overall health. These therapies must be weighed carefully as they are not for every woman.
10. What about nonhormonal options for managing menopausal symptoms?
There can be lifestyle changes a woman may try that might possibly relieve many symptoms. These include:
Dr. Samadi is a board-certified urologic oncologist trained in open and traditional and laparoscopic surgery and is an expert in robotic prostate surgery. He is chairman of urology, chief of robotic surgery at Lenox Hill Hospital. He is a medical correspondent for the Fox News Channel’s Medical A-Team. Follow Dr. Samadi on Twitter, Instagram, Pintrest, SamadiMD.com and Facebook.
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Posted: September 1, 2017 at 6:48 pm
A court has made a final ruling in the Richard Simmons lawsuit against the National Enquirer.
Richard Simmons is a flamboyant fitness guru and former TV personality in the US,who abruptly ceased all public appearances in 2014.
The National Inquirer, which has a notorious history of perpetuating hoaxes about celebrities, later published a number of front-page splashes claiming Simmons was transgender.
The TV personality later launched libel action, describing the articles as cruel and malicious.
However, the case ended in a defeat for Simmons this week, as a judge threw out his case.
Judge Gregory Keosian controversially ruled that no case could be heard for mis-identifying someone as transgender, gay, bisexual or lesbian, because they are not negative characteristics.
The judge ruled: While, as a practical matter, the characteristic may be held in contempt by a portion of the population, the court will not validate those prejudices by legally recognising them.
The articles in question were published between June 2016 and March 2017, and based their claims on Simmons withdrawal from public life.
Headlines included shocking sex surgery, and suggesting that he was undergoing hormone replacement therapy and that he had gotten breast implants.
The National Enquirer claimed he was the latest Hollywood star to secretly undergo a sex change, adding that he has opted for a breast implant surgery, hormone therapy, and a host of other invasive changes to create the transformation.
Simmons lawyer argued that he had a legal right to insist that he not be portrayed as someone he is not. Even the most ardent supporter of sexual autonomy and LGBTQ rights is entitled to be portrayed in a manner that is truthful.
Howard Stern and Tom Cruise are among the high-profile celebrities who have successfully won libel suits for being called gay in various publications. Stern settled privately, and Cruise was awarded 10 million by a court in Los Angeles in 2003.
After both lawsuits, a court ruled it no longer slander to be described as L, G, or B. Judge Keosians ruling has now put the T in the same camp, setting a precedent for other courts to do the same.
Judge Keosian agreed with The Enquirers defense lawyers statement: There is nothing inherently bad about being transgender.
He then dismissed Simmons case from the court.
Simmons lawyer commented that The Enquirer cannot at once cynically and deliberately publish falsehoods about Simmons that it touted to the world as shocking and bizarre, intentionally pandering to prejudice, and then righteously pretend that such prejudice does not exist.
The National Enquirer has previously published claims that Caitlyn Jenner plans to de-transition and live as a man, and false claims thatNeil Patrick Harris has broken up with his partner weeksbefore they tied the knot.
It has also repeatedlyprophesied the death of Cher claiming for several years that the singers death is imminent.
The outlet has published numerous front-pages fixated on the gay icons health, claiming in 2014 that she had just 3 months to live.
In 2015, it claimed Cher was celebrating her last Christmas. She has since returned to the stage for a Las Vegas residency.
See the original post here:
Judge throws out Richard Simmons lawsuit over tabloid falsely ‘outing’ him as trans – PinkNews
Posted: at 6:48 pm
A health lobby group is urging the Alberta Government to change the rules for trans-gender patients seeking hormone therapy.
According to Friends of Medicare, there are too many barriers.
Right now, trans-gender patients are required to undergo psychiatric therapy before getting access to hormone therapy.
Executive Director Sandra Azocar says its a gatekeeping model that needs to end.
We definitely believe that the principals of Medicare is based on equal access for all, regardless of the contents of your wallet or in this case if you are a trans person in this country, Azocar explains.
Were very concerned about the health disparities and discriminatory practices faced by trans people in Alberta when trying to access hormone replacement therapy.
She says Alberta lags behind some other places.
Azocar says it would save the system money moving to informed consent, which happens in some other jurisdictions.