menopause made easy! understanding menopause, pms, and hormone balancing for today’s women hunt...

Menopause Made Easy!Menopause Made Easy!

Understanding Menopause, PMS, and Hormone Balancing for Today’s

Women

HUNT NATUROPATHIC CLINICDr. Jeffrey J. Hunt

Hon. B.P.H.E., N.D., F.C.A.H.1618 2nd Ave., Trail, BC,

(250)368-6999E-Mail: [email protected]

BACK IN BALANCEDr. Diana Draper, BA, ND2325 6th Ave Castlegar BC

(250) 304-4401E-Mail: [email protected]

www.backinbalance.cawww.facebook.com/drdrapernd

OverViewOverViewIntroductionThe Physiology of HormonesTreatments for Hormone Balancing:

◦Hormone Replacement Therapy◦Natural Therapies

PreventionQuestions

IntroductionIntroduction

Dr. Jeffrey Hunt excels in the treatment of many complex health conditions utilizing his extensive training and diagnostic skills and tools.

He is a graduate of at the top of his class from the Canadian College of Naturopathic Medicine

He’s been practice at Hunt Naturopathic Clinic in Trail for over 20 years.

Dr. Hunt is particularly interested in gastrointestinal disorders, hormonal concerns, cancer, Lyme disease, allergenic disorders and weight loss.

IntroductionIntroduction Dr. Diana Draper is a graduate of the Canadian College of Naturopathic

Medicine, and a member of the College and Naturopathic Physicians of BC and the Canadian Association of Naturopathic Doctors. She recently left her practice in Calgary AB to return to her hometown of Castlegar BC.

As a licensed medical practitioner, Dr. Draper use natural therapies that work with the bodies innate healing abilities to promote optimal, sustainable health by addressing all areas of the self: the physical, mental, emotional and spiritual. Her goals as a Naturopathic Doctor are to be a facilitator for anyone who wishes to reach their highest potential in life, to empowering patients and the community to take responsibility for their health, and to be a health educator and advocate.

Areas of special interest include stress, anxiety, insomnia, pain management, digestive complaints, hormone regulation, and inflammatory conditions.

Tools used for treatment include clinical nutrition, acupuncture, herbal medicine, homeopathy, biopuncture, IV therapy, counseling, and nutritional supplements.

Aside from her practice Dr. Draper works with Hope College in Drumheller AB where she has designed 3 health diploma programs for the College and continues to provide consulting on best practices in their clinic.

Naturopathic MedicineNaturopathic Medicine

The Naturopathic OathFirst, to do no harm. To co-operate with the healing power of nature. To address the fundamental causes of disease. To heal the whole person through individualized

treatment. To teach the principles of healthy living and

preventive medicine

The Physiology of The Physiology of HormonesHormones

Receptor

Lock

How Hormones Work:Lock and KeyInterdependences and Interactions

The Physiology of The Physiology of HormonesHormonesSteroid Hormones:

◦Cortisol◦Estrogens◦Androgens◦Progesterone

Made from cholesterolIn Women, produced primarily by ovaries

and adrenal glands

The Physiology of The Physiology of HormonesHormonesAdrenal Gland:Located above kidneysRelease adrenaline, cortisol, and DHEADHEA forms androstenedione which then

forms Estrone and TestosteroneConversion of one hormone to another

requires an enzymesEnzymes require vitamins and mineral

The Physiology of The Physiology of HormonesHormonesThe Adrenal Gland and Pre-MenopausePrior to menopause ovaries are the major

producers of estrogen and progesterone◦40% of estrogen comes from adrenal gland via

conversion from androstenedioneAbout half of womens testosterone comes

from DHEA released by adrenal glands Almost all progesterone made by adrenal

gland is used to make cortisol

The Physiology of The Physiology of HormonesHormonesPost-menopause and the Adrenal GlandsAfter menopause the adrenal glands become the

primary source for estrogens and testosterone. ◦Ovaries produce small amounts of estradiol

and testosterone◦Majority comes from DHEA and

androstenedioneWomen with complete hysterectomy are similar

to post-menopausal women in physiology of hormone production

The Physiology of The Physiology of HormonesHormonesEstrogens:Receptors found in cells throughout body

◦Bone, brain, blood vessels, bladder, breast, thyroid gland, reproductive organs

Development of breasts and menstrual cycle

Conjugation in liver

The Physiology of The Physiology of HormonesHormonesEstrogens:3 main forms: Estradiol – strongest, main one produced by

ovaries. Primary in menstrual cycle and builds endometrium lining

Estrone – main post-menopausal estrogen. Easily converted to estriol or estradiol

Estriol – very high in pregnancyEstrone Sulphate – most abundant. Storage form2 Hydroxyestrone – thought to be protective

against breast cancer

The Physiology of The Physiology of HormonesHormonesProgesterone:Receptors found throughout body:

◦Brain, bone, breast, bladder, blood vessels, thyroid gland, reproductive organs

Essential to maintain pregnancyEssential to balancing hormonesProduced in ovaries, small amount in

brain, and adrenal gland


Androgens:

TestosteroneSense of wellbeing, sex drive, maintains

vaginal mucosa and bone tissueImproves heart health, maintains skin

elasticity and muscle mass1/5 to 1/10 amount compared to men

The Physiology of The Physiology of HormonesHormonesAndrogens:DHEAMost abundant steroid hormone in

bodyCirculates in blood primarily as

DHEASMakes estradiol, estrone, estriol and

testosterone


Androgens:

AndrostenedioneMade from DHEA in adrenal glandsBuilding block for estrogens and

testosteroneCritical for production of steroid

hormones after menopause

The Physiology of The Physiology of HormonesHormonesCortisol:Release by adrenal glands in response to

physical and emotional stressesPromotes release of sugar in the bodyEssential to mobilizing defense against

infections and inflammationHighest in morning to combat stress of

overnight fasting and provide energyRegulates effects of other hormones

The Physiology of The Physiology of HormonesHormonesCortisol and Estrogen:Cortisol stimulates aromatase

activity which promotes estrogen formation

Promotes deposition of fat around waist

Excess cortisol = excess estrogen

The Physiology of The Physiology of HormonesHormonesCortisol and Progesterone:Competes with progesterone for same

receptorCan cause functional deficiency

◦progesterone levels normal but cannot connect to receptor therefore deficient

The Physiology of The Physiology of HormonesHormonesCortisol and DHEA:Opposite effect on immune function and

blood sugar regulation

Cortisol and Thyroid:They need eachother for each to work

properlySymptoms of deficiency in one family can

be due to deficiency in the other family

The Physiology of The Physiology of HormonesHormonesAdd in triangle of thyroid,

adrenals and sex hormones

The Physiology of The Physiology of HormonesHormonesInsert slide on hormone def.


Testing:Saliva Vs Serum

TreatmentsTreatments

Progesterone Studies:40 premenopausal women who were

scheduled for excisional biopsy of benign lesions were given topical progesterone, topical estradiol or both 10-13 days prior to surgery.

Reduction in the proliferation rate of acinar cells was seen in both the progesterone and the combination groups.

Influences of percutaneous administration of estradiol and progesterone on human breast epithelial cell cycle in vivo. Chang KJ, et al. Fertil Steril (1995) 63(4):785-91.

TreatmentsTreatmentsAnother study involving 40

postmenopausal women who received topical placebo, estradiol, progesterone or estradiol and progesterone two weeks prior to excision showed increased number of cycling epithelial cells in estradiol cohort, but reduced in the groups using progesterone and estradiol plus progesterone.

Foldart JM et al. Estradiol and Progesterone Regulate the Proliferation of Human Breast Epithelial Cells. Fertil Steril (1998) May; 69(5): 963-9.


Comparing apples to oranges:

When a French study compared women using estrogen in combination with a progestin vs. women using estrogen in combination with progesterone they found a significant increase in incidence of breast cancer with the progestin group and no increase in the group using progesterone.

Breast Cancer Risk in Relation to Different Types of Hormone Replacement Therapy in the E3N-EPIC Cohort. Fournier A et al. Int J Cancer (2005); 114(3):448-54.


Natural Therapies:Diet and weight managementAcupunctureIV therapyHerbs and nutrients

TreatmentsTreatmentsDiet

◦Xenoestrogens in herbicides and pesticides and plastics

◦Promote estrogenWeight management

◦Decrease fat for aromatase enzyme◦Decrease inflammation

TreatmentsTreatmentsAcupuncture:

◦Balancing Yin and Yang◦Addressing anxiety◦Improving hot flashes◦Improving sleep◦Decreasing nighttime urination

TreatmentsTreatmentsIV Therapy:

◦Adrenal support◦Include homeopathic injections for

hormone balance◦Avoid first pass effect◦Avoid complications in digestive system


Herbs and Nutrients:Hot Flashes: Vitamin C Vitamin B Curcumin Gamma Oryzanol Hesperidin Fish oils Alkaline Powder

•Chaste Tree Berry

•Astragalus

•Valerian

•Black cohosh

•Chih Pai Pa Wei Wan

•Rehmannia

•Flax Seed


Herbs and Nutrients:

Insomnia, Anxiety, DepressionB complexCalcium5-HPTSt. John’s wartSiberian GinsengValerianMelatonin


Vaginal Dryness:

Herbs and Nutrients:Black cohoshSaw palmettoFish oilsGround flaxseedsVitamin EVitamin AZinc


Combination Therapies:Estrovera – Rhapontic RhubarbPascofemin – complex homeopathicMenopause – black cohoshWomens support – Dong Quai, chaste

tree, Black cohosh, Red clover


Valarian and Postmenopausal women:4 week study30% improvement in sleep quality

with valiarian group vs 4% improvement with placebo group


EFA and Hot Flashes:8 weeks70% found positive results

◦50% decrease in hot flashes◦45% remission rate

What to Expect from What to Expect from Seeing a Naturopathic Seeing a Naturopathic DoctorDoctorInitial Consult is 1 hourDepends on severity of symptoms which

route to start withTestingInformed consentTransitioning between natural products

and bio-identical hormone replacement

HighlightsHighlightsFeedback mechanism in the brain for hormone

balanceStress affects hormone balanceBioidentical hormones are plant sourceHormone balance is more important than

hormone levelsEstrogen production in creased by obesity,

Phthalates from plastic and xenoestrogens from herbicides and pesticides

Low testosterone looks like depression

Questions?Questions?

Thank you for coming!

menopause made easy! understanding menopause, pms, and hormone balancing for today’s women hunt...

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