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Premenopause and Perimenopause Choices.

Answers, by Dr. Joseph Collins


Question:
 I am 45 years old with no menopause symptoms and regular periods. What should I be doing to prepare for symptoms and ensuing menopause?

 

Answer:
First let’s review a few definitions. Premenopause means before menopause. This term may actually be used to describe women in there twenties to their early forties. Perimenopause literally means "around menopause" - and likewise draws our attention to the changes that may take place around the time of true menopause. True menopause is the permanent cessation of the regular monthly cycle, and may be associated with various changes in hormone levels.

Preparing for an ensuing menopause requires attention to the fact that choices made years before menopause will determine both the ease of the course, and the type of menopause a woman will eventually experience.

Excessive alcohol use, or the use of tobacco products, can bring about an earlier and more uncomfortable menopause. Medications that can lower hormone production may also bring about an earlier and non-ideal menopause (review the lists of these drugs in Chapter 10).

Since adrenal recruitment is required for ideal menopause to occur, the health of the adrenal glands needs to become a greater focus in women's health. Stress - no matter what kind, or where it comes from - can have adverse effects on the normal production of hormones. Consider this; under increased stress the body will make more cortisol so that the body can tolerate the stress. The hormone-making pathway (steroidogenic pathway) that makes this needed boost in cortisol is the same pathway that makes the "sex hormones" (estrogens, progesterone and testosterone). Under stress there will be increased cortisol at the expense of the sex hormones.

Stress management techniques such as relaxation exercises, meditation, prayer, yoga, exercise and play, all can help diminish the degree to which stress can impact onset and severity of menopause. This often comes down to adding healthy recreation back into your life. Exercise in and of itself can bring about a more favorable perimenopause and menopause.

It's interesting to note that moderate exercise will actually increase sex hormone production. But avoid extremes. Excessive exercise has been shown to decrease sex hormones in a number of studies. As well as exercise, include relaxation as part of a healthy life style. And remember that inadequate sleep can also lower hormones (page 314).

Nutrition supplements should definitely be part of any program aimed at achieving the ideal menopause (Menopause Type 1). Over two-dozen vitamins and minerals are required for the production of the sex hormones (see Chapter 12). These vitamins and minerals are best acquired by using multiple vitamin & mineral supplements. But supplements will not provide everything a woman needs to achieve an ideal menopause. A healthy diet - free from the extremes of severe dieting and binge eating - can increase the opportunity for an ideal menopause. Diets rich in whole fruits, vegetables, grain and legumes can provide the wide range of phytoestrogens that make the transition smoother (pg. 212).

Decreased use, or avoidance, of caffeine may be of additional help in attaining an ideal menopause. Avoiding caffeine has been associated with decreased hot flushes, and caffeine will cause the same reaction as stress - increased cortisol.

Improving lifestyle and eating choices is a good idea any time. Undertaking such major changes as a better diet, starting to exercise, taking new supplements, making time for recreation, quitting smoking and decreasing alcohol intake take significant effort. Trying to start these changes while having to deal with menopause symptoms proves to be all the more difficult. So start making healthy choices now.

 

What choices can a woman make?

Begin a healthy balanced diet now. Use foods and herbs that provide a variety of phytoestrogens (pg. 212-219)

If a woman is smoking, it is best to quit as soon as possible.

Women who use alcohol should make sure that alcohol is used in moderation.

Now is the time to start on high grade multiple vitamin-mineral supplements that provide all needed nutrient (see Chapter Eleven).

 

Begin regular physical activity now. It will be more difficult to start an exercise program if fatigue comes on with menopause. Regular exercise

will actually decrease the chances of having fatigue during menopause. Make life choices that allow time for relaxation and proper management of stress as early as possible in life. It is always easier to keep healthy habits than it is to start them. If a premenopausal woman of any age is already experiencing fatigue or decreased ability to tolerate stress, now is the time to consider using adaptogens to strengthen the adrenal glands.

Consider consulting with a healthcare professional experienced in adrenal health, such as a Naturopathic Physician, a Chiropractic Physician who practices nutritional medicine, or a Holistic Medical Doctor. Also consider using adaptogenic herbs (pg 227).

If a premenopausal woman of any age is experiencing PMS, she should seek out a healthcare professionals to assist her in achieving balance and relief as soon as possible. Treating the symptoms of PMS does not restore balance. Women who experience premenopausal PMS often experience a more difficult and unbalanced menopause.

 

It's important to realize that the choices listed above each have the ability to decrease symptoms, and reverse health risks, in women who have already entered menopause. Making these choices years, or decades, before the onset of menopause can provide a greater opportunity of attaining the ideal menopause.

 

Dr. Joseph J. Collins

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