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Category: Hormones

Hormone Therapy: Is it Right for You?

Women often become curious about hormone therapy (HT) or hormone replacement therapy (HRT) as they experience symptoms associated with hormonal imbalances. These symptoms can vary widely but commonly include hot flashes, night sweats, mood swings, fatigue, stubborn belly fat and changes in libido. For women going through the changes that come with menopause, these symptoms can be particularly bothersome and disruptive to daily life and work.

Concerns about HT often revolve around its safety, potential side effects, and whether it’s suitable for particular health conditions. Some worry about the long-term implications of hormone use, such as increased risk of certain cancers or cardiovascular issues. Others are unsure if they are the right candidate for HT, wondering if their symptoms are severe enough to warrant treatment.

This article aims to provide clarity on what hormone therapy entails, who might benefit from it, and what to expect in terms of benefits and risks. By addressing these concerns, it helps women make informed decisions about managing their hormonal health effectively.

What is Hormone Therapy? 

The term “hormone replacement therapy” or “HRT” is no longer used for menopause because it suggests that there is a hormone deficiency that requires correcting. However, menopause is a normal part of female aging and there is a natural reduction in hormones as the ovaries no longer ovulate and cycle month to month. Therefore it does not require correction or to “replace” anything.

The overall goal of hormone therapy is to provide a small amount of hormone to reduce the distressing symptoms of menopause (i.e., hot flashes) and to protect certain organs that are very sensitive to the loss of cycling hormones in menopause. The idea is not to go above normal limits, but rather to achieve a balance where symptoms are improved and protect the long term health of bone, uterus, bladder and brain. 

HT can be tailored to individual needs and may involve estrogen, progesterone, testosterone, or a combination depending on the specific issues being addressed.

Types of Hormone Therapy

 

Estrogen

Progesterone

Testosterone

Common Conditions Treated and Prevention

Perimenopause 

Menopause

Osteoporosis and low bone mineral density 

Perimenopause

Menopause

Recurrent miscarriage

Perimenopause

Menopause

Common Symptoms Treated

Hot flashes/night sweats

Insomnia

Heavy menstrual bleeding

Vaginal dryness

Overactive bladder 

Painful intercourse

Hot flashes/night sweats

Insomnia

Heavy menstrual bleeding

Low libido

Fatigue

Mood changes

Common Side Effects

Endometrial hyperplasia 

Breast tenderness 

Headaches

Nausea

Fluid retention

Unpredictable menstrual bleeding

Mood changes

Breast tenderness 

Headaches

Nausea

Fluid retention

Changes in libido

Acne

Mood changes

Unwanted hair growth 

Fluid retention

Insomnia

Need Prescription?

Yes

Yes

Yes

Who It’s Not For (Contraindications)

If you have:

  • a high risk of cancer
  • a clotting disorder 
  • certain types of cardiovascular disease.

Those with a history of Major Depressive Disorder

If you have known genetic mutations including BRCA1, BRCA2, PTEN and p53

*this is not an exhaustive list

Hormone Therapy for Menopause

Hormone therapy can come in the form of oral, injectable, and topical preparations. They can be effective and impactful tools to help achieve balance. 

Different forms and preparations of hormone therapy may be recommended over others and therefore confer different benefits vs risks. For example, in a woman who experiences vaginal dryness she may be recommended the vaginal estrogen which can better help without the unwanted effects of estrogen in the rest of the body. It is important to discuss your healthcare concerns with your healthcare provider in order for them to best assess what therapies, and what forms, are better for you. 

Menopause

During menopause, hormonal changes, particularly a decrease in estrogen and progesterone levels, lead to symptoms like hot flashes, night sweats, mood swings, and vaginal dryness. Hormone therapy can alleviate these symptoms by adding in the hormones that the body no longer produces in the ovaries. It helps restore hormonal balance, easing discomfort and improving quality of life for many women.

However, hormone therapy is not appropriate for everyone, especially those with a history of certain cancers (like breast cancer), blood clots, or cardiovascular disease. Furthermore, women with known genetic mutations that include PTEN, p53, BRCA1 and BRCA2 may require a more nuanced approach to hormone therapy on a case by case basis. 

Overall, individual health factors and risks should be carefully considered and discussed with a healthcare provider before starting hormone therapy. 

Hormone Therapies and Naturopathic Medicine

Naturopathic doctors (NDs) take a comprehensive approach to hormone therapy, beginning with thorough testing and assessment to understand the individual’s hormonal profile and health status. This typically involves detailed blood tests to measure hormone levels and assess overall health markers. NDs also consider lifestyle factors, nutrition, stress levels, and environmental influences that may impact hormone balance.

Baseline testing includes routine tests on your annual blood tests, relevant hormones as well as an assessment of metabolism including blood sugar, cholesterol and liver/kidney function tests. Based on where in the menopausal transition women are experiencing symptoms, more nuanced testing may be used such as the DUTCH test. 

What sets ND care apart is the emphasis on natural and holistic approaches. NDs may recommend lifestyle modifications, dietary changes, herbal supplements, and other natural therapies alongside or instead of conventional hormone therapy. They aim to support the body’s natural ability to balance hormones and alleviate symptoms, often with a focus on long-term health and prevention.

Patients undergoing hormone therapy with an ND can expect a personalized treatment plan that addresses their unique needs and preferences, with regular monitoring to adjust therapies as necessary. The scope of practice for NDs in Ontario includes bio-identical hormones which are analogous to human hormone (not equine hormone which is conventionally used). The approach often integrates traditional medical knowledge with natural healing practices to promote overall well-being.

Alternatives to Hormone Therapy

Metabolic Reset Program

It is a known phenomenon that women will have an increase in abdominal fat by the time they are menopausal. This stubborn belly fat happens partly due to changes in metabolism, hormones and a sedentary lifestyle. 

The Metabolic Balance program is a structured dietary and lifestyle intervention designed to address metabolic changes, particularly targeting abdominal weight gain often associated with menopause. Developed in Germany, this program focuses on optimizing metabolism through personalized nutrition plans that consider individual dietary needs and nutrient requirements based on your blood work. By emphasizing healthy eating patterns, the program aims to promote weight loss, particularly around the abdomen, and improve overall metabolic health, including high cholesterol, high blood pressure, fatty liver and prediabetes .

Those following in the Metabolic Balance program can expect guidance on portion control, food choices, and meal timing tailored to their metabolic needs. There are 4 phases to this program where the last phase is lifelong sustainable eating for your health. There is no fad dieting here! 

Find out more about whether you are a good candidate for the Metabolic Balance program.

Book a Complimentary Discovery Call

Botanical Medicine

Botanical medicine, also known as herbal medicine, offers an alternative approach to menopausal hormone therapy. Plants like black cohosh, red clover, and dong quai are commonly used to alleviate menopausal symptoms such as hot flashes and mood swings. 

Pros

  • Natural approach: Botanical medicines are derived from plants and often have synergistic effects to improve health overall.
  • Fewer side effects: Compared to hormone therapy, botanical medicines may have fewer side effects, though individual reactions can vary.

Cons

  • Variable efficacy: Effectiveness can vary widely among individuals, and some may not experience significant relief.
  • Quality concerns: Standardization and quality control of herbal products can vary, affecting their efficacy and safety. Work with a knowledgeable healthcare provider to ensure you are taking the correct dosage and standardized product.

While botanical medicine offers a natural and potentially safer alternative for managing menopausal symptoms, its effectiveness and suitability should be carefully evaluated in consultation with a qualified healthcare provider. Botanical medicines can interact with medications or other supplements, so it’s crucial to consult a healthcare provider before considering its use for menopause.

Stress Management

Stress management techniques provide a non-drug approach to alleviating menopausal symptoms, focusing on reducing stress levels that can exacerbate symptoms like hot flashes, mood swings, and sleep disturbances.

Pros

  • Natural approach: Stress management techniques involve lifestyle changes, relaxation exercises, and mindfulness practices, which are generally considered safe and have no side effects.
  • Holistic benefits: Beyond symptom relief, stress management can improve overall well-being, mood stability, and quality of life.
  • Complementary to other therapies: Can be used in conjunction with hormone therapy or other treatments to enhance effectiveness.

Cons

  • Variable efficacy: Effectiveness can vary depending on individual responses and the severity of menopausal symptoms.
  • Requires commitment: Consistent practice of stress management techniques is necessary to achieve and maintain benefits.
  • Not a standalone treatment: While helpful, stress management alone may not provide sufficient relief for severe symptoms.

In summary, stress management techniques offer a valuable alternative or complementary approach to hormone therapy for managing menopausal symptoms, focusing on improving overall resilience and well-being through lifestyle adjustments and psychological support.

Other Therapies that Support Hormonal Changes

Cognitive-behavioral therapy (CBT) helps manage hot flashes and night sweats in menopause by teaching techniques to challenge and change negative thought patterns and behaviors that may exacerbate symptoms like hot flashes and night sweats. It promotes relaxation, stress reduction, and adaptive coping strategies, improving overall symptom perception and management.

Acupuncture helps alleviate symptoms in menopause by regulating hormonal balance, reducing sympathetic nervous system activity, and enhancing endorphin release. This ancient Chinese therapy involves inserting thin needles at specific points to restore energy flow, promoting relaxation and potentially reducing the frequency and intensity of hot flashes and night sweats.

Want to learn more about hormone replacement therapy? Our hormone experts are ready to chat!

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How Naturopathic Doctors Support Your Hormones

Naturopathic doctors (NDs) are like your hormone BFFs. Whether it’s for wonky periods, thyroid troubles, or feeling like you’ve been hit by a hormone hurricane during menopause, naturopathic doctors have your back. 

NDs help you navigate the rollercoaster of health by creating personalized treatment plans that incorporate nutrition, stress management, herbal supplements, and acupuncture to rebalance hormonal fluctuations. Through comprehensive assessments, naturopathic doctors seek to address the root causes of hormonal imbalances and promote sustainable health improvements.

If you’re ready to kick those hormone woes to the curb and reclaim your groove, grab your green smoothie and let’s dive into how naturopathic doctors work their magic on your hormones.

Common Conditions Affected by Hormones

When hormones are balanced, life just feels right. You’re in sync with your body, radiating vitality, and ready to take on whatever comes your way! On the other hand, when they are off, you wake up feeling like you’ve been hit by a truck, you are breaking out like a teenager again, and your mood swings are giving you emotional whiplash. 

We use the analogy of trying to navigate a stormy sea without a compass. But fear not, there’s always a way to find balance and ride out the hormonal waves!

Common conditions influenced by hormones include:

      • Thyroid disorders

      • PCOS

      • Adrenal fatigue

      • Infertility

      • Insulin resistance 

    The Naturopathic Medicine Approach to Hormones

    Naturopathic medicine is a form of alternative medicine that focuses on using natural remedies and holistic approaches to promote healing and wellness. Licensed naturopathic doctors (NDs) emphasize the body’s inherent ability to heal itself and strive to identify and address the root causes of illness.

    It is key to note that naturopathic doctors often work in collaboration with other healthcare providers to provide integrative care for their patients.

    Herbal medicine

    Naturopaths employ herbal medicine (plant based extracts) to restore hormone balance, utilizing plants with properties to support the endocrine system. Herbs like black cohosh, chaste berry, and dong quai are known for easing menopausal symptoms and regulating menstrual cycles. Adaptogenic herbs such as ashwagandha and rhodiola help manage stress, while maca root may enhance fertility.

    Herbs may seem safer, but it’s important to know that not all herbs are suitable for every individual. Naturopathic doctors tailor herbal remedies to individual needs for effective hormone balancing at your life stage. They also consider your whole health history, allergies, sensitivities, and other medications in order to maximize the benefit of your treatment.

    Acupuncture

    This isn’t your typical joint-pain-type acupuncture. Naturopathic doctors are trained in the Traditional Asian Medicine (also known as Traditional Chinese Medicine, TCM) style of acupuncture.

    Acupuncture is a key tool used by naturopathic doctors for hormone balancing, which involves the insertion of thin needles into specific points on the body to stimulate energy flow and promote healing. In the context of hormonal balance, acupuncture is believed to influence the endocrine system, which regulates hormone production and cycling.

    Targeted Nutrition

    Do you need more healthy fats? Or more proteins? Maybe both!

    Naturopathic doctors can use targeted nutrition to help you reach your goals faster but also sustainably. After a thorough assessment, your ND customizes dietary recommendations to support hormone balance and overall metabolism. This approach significantly influences hormone production, metabolism, and function within the body. Eating right for your body addresses the root causes of health issues and is paramount to maintaining hormonal freedom.

    How Long Does Naturopathic Medicine Take?

    The duration of naturopathic treatment varies depending on individual health concerns, baseline health status, and the body’s response to therapies. Typically, patients can expect to see improvements in their health over time, with some experiencing relief from symptoms within weeks, while others may require several months of consistent care to achieve optimal results.

    For hormonal support, patients can expect a comprehensive assessment of their hormone levels, lifestyle factors, and overall health. Naturopathic doctors may recommend dietary adjustments, herbal supplements, stress management techniques, and other natural therapies tailored to rebalance hormones and alleviate symptoms such as irregular periods, fatigue, mood swings, and hot flashes. Treatment plans are individualized to address each patient’s unique needs and may require ongoing monitoring and adjustments to achieve long-term hormone balance and wellness.

    Get started with Dr. Salwan, ND or one of our NDs at Wildflower Health and Wellness today.

    Contact Us

    Ready to take control over your menopausal symptoms? Join our 8-week program with expert guidance every step of the way.

    Learn More About WHW's (Peri)Menopausal Program

    How to Perfect Your Spring-Summer Detox 

    Detox, detox, detox.  

    Detoxing has become quite the fad, both online and in the health community. Many of us think that we need to be on a plethora of detox supplements or laxatives and that we need to be doing long hours (sometimes days) of fasting in order to do it “properly” and to “cleanse” our systems completely of all waste and toxins.  

    But here’s the reality of it: Yes, those things may help accelerate the process. Yes, they may help in the short term. But that is not all of what a detox is, and it is important to note they’re not always the safest either, especially not for long periods of time. As a naturopathic doctor, I would highly advise doing these under direct supervision of your health care  provider.  

    What’s a Detox? 

    A true detox involves supporting our essential detox organs, which are our:  

    These organs help to eliminate toxins, waste, and hormones (and hormone byproducts, called metabolites) from the body. They help filter out the “good” from the “not so good.” However, these organs can become “sluggish” or  backed up (i.e. not functioning optimally) when there is a large toxic load, which can be due to poor lifestyle choices or high environmental exposures.  

    Common signs and symptoms of your detox organs not functioning optimally include:  

        • Fatigue  
        • Water retention or swelling  
        • Bloating  
        • Digestive upset  
        • Constipation  
        • Chronic cough  
        • Getting sick frequently  
        • Excess congestion
        • Allergies and sensitivities
        • Skin concerns  
        • Increased acne or breakouts  
        • Increased pain or inflammation  
        • Brain fog  
        • Weight loss or gain  
        • Hormonal concerns, etc. 

    Many of us may experience one or more of the above symptoms. Note that we can easily support these detox organs in our day-to-day life through nutrition, lifestyle, supplements, and with botanical medicine as well.  

    Top Tips for Supporting Detoxification

    The top 7 things to remember when doing your yearly detox:  

        1. Drink enough water! This can be up to 2-3 litres, depending on the individual.  
        2. Increase your vegetable and whole foods intake. Reduce processed foods!
        3. Increase protein and healthy fats.  Swap out for more plant-proteins, olive oil, and avocado oil.
        4. Eliminate alcohol, smoking, sugar, caffeine, and coffee.  
        5. Increase exercise, and encourage daily sweating – whether with movement or a sauna.
        6. Prioritize sleep, and ensure you are getting at least 7–8 hours of well rested sleep everyday. 
        7. Manage your stress — do something that helps you relax everyday!  

    These are the foundations of health, and are essential to maintaining a healthy body, and supporting our detoxification systems. The reality is, if we do not optimize our food, our movement, our sleep and our stress, no amount of detoxing or products from the health food store will do us any good. If anything, the effects will be short-lived, and you will be back to feeling unwell soon after.

    We are what we consume, and this applies to our food and what we ingest, but also to what we consume socially, from the media, from our relationships and from any such negativity or toxicity in our  lives too.  

    I encourage you to be mindful and try the tips above. Notice how you feel after doing so for 1–2 weeks, and the impact it has had on your daily life and functioning.

    If you have any other questions on how to support your body or health via naturopathic medicine or botanical medicine, feel free to  book a free 15 minute discovery call with me.  

    Let’s work to restore your health in all aspects — mentally, emotionally and physically! 

    Wishing you all nothing but good health and positive energy. 

    Book with Dr. Sidhu, ND

    Menopause Dos and Don’ts According to Our Experts

    Menopause can be confusing for many women due to its wide array of symptoms and the variability in how they manifest. These symptoms  can interfere with daily activities, work, relationships, and overall quality of life. Dealing with these disruptions while trying to understand and manage the changes can be overwhelming.

    What is menopause?

    Menopause marks the end of a woman's menstrual cycles and is defined as the absence of menstruation for 12 consecutive months. The average age of natural menopause in women is around 51, but it can occur earlier or later. 

     In addition, because there is considerable overlap with other health problems it is hard to attribute symptoms strictly to menopause. For example, women may attribute mood swings or fatigue to stress rather than hormonal changes associated with menopause. Menopause is still a topic that isn’t always openly discussed, leading to a lack of awareness and understanding. Without proper information, women may feel lost or confused about what they’re experiencing.

    We find there are a lot of questions around menopause treatment options, from IUDs and antidepressants to more natural options like lifestyle changes, and naturopathic medicine. But here’s our menopause do’s and don’ts regardless of the treatment options you explore. 

    Don’t – Ignore Your Symptoms

    Ignoring menopause symptoms can worsen discomfort, impact quality of life, and lead to further health risks such as osteoporosis and cardiovascular disease. Prompt attention allows for effective management, reduces distress, and prevents complications later on in life. Consulting a naturopathic doctor ensures personalized guidance and treatment which will improve your current and long term health during this natural transition.

    Do – Get Your Hormone Levels Checked

    Getting your hormone levels checked is like peeking behind the curtain of menopause symptoms. It helps figure out what’s really going on in your body so you can tackle those hot flashes and mood swings head-on. Don’t guess, know for sure! Naturopathic doctors offer a variety of menopause testing such as simple blood work but also the DUTCH test which comprehensively shows the hormone cascade in your body. Working with a licensed naturopathic doctor can get you the answers you need for your body and mind during menopause.

    Don’t – Try Just Any Pink Supplement

    Those pink supplements might look appealing, but they’re not a one-size-fits-all solution for menopause symptoms. They are often not addressing the root cause and can be risky if combined with other medications you may be taking. It’s better to talk to a healthcare professional for safe and effective options tailored to your needs. Don’t gamble with your health; go for what’s tried and true.

    Do – Get Individualized Treatment Recommendations 

    Menopause isn’t one-size-fits-all, so why settle for generic solutions? Getting personalized treatment recommendations from a naturopathic doctor is like finding the perfect fit for your body’s needs. It’s all about tailoring the approach to YOU and your lifestyle. Whether you need more energy to keep up with your family or help dealing with work-related stress, your menopause journey needs your attention. Don’t just wing it; get the guidance that’s made for you.

    Don’t – Overeat Soy 

    While soy can be the solution for some it may not help with your symptoms. Depending on other aspects of your body, for example your thyroid, it may not be the right move in managing your symptoms. Moderation is key; overdoing it could bring more harm than help. It’s cool to sprinkle some soy into your diet, just don’t go overboard – your body will thank you.

    Do – Commit to a Health-Promoting Lifestyle

    Regular exercise, balanced eating, and stress management can dial down those frustrating/annoying symptoms and boost your overall well-being. For some women adopting healthy habits may get them a complete resolution of symptoms and for others it gets them the majority of the way there. Plus, it’s a long-term win-win for your overall health. 

    In Summary

    Navigating menopause can be confusing, but it’s crucial to approach it with clarity and care. Avoiding quick-fix supplements and excessive soy consumption, while committing to a health-promoting lifestyle, forms a solid foundation to support your hormone transition. Seek individualized treatment recommendations and get hormone levels checked to tailor solutions to your needs. With the right approach, you can tackle menopause confidently, ensuring a smoother transition and better quality of life.

    Get help with building a plan that supports your health now.

    Book an appointment with one of our knowledgeable naturopathic doctors.

    Contact Us

    5 Reasons You Should Be Tracking Your Menstrual Cycle

    Are you a 3-weeker or a 4-weeker? Tracking your menstrual cycle can yield a lot of benefits, not just for your laundry and vacation schedules, but also for your hormone health, fertility, and overall health. Read on to find out 5 reasons why you should be tracking your menstrual cycle, and how to do it. 

    A “Normal” Cycle

    Although the average length of a menstrual cycle is 28 days, a menstrual cycle can be from 23 to 35 days and still be considered normal. The regularity of your cycle is more important than the length of your cycle because it indicates that your hormones are cycling properly. There are a few hormones that influence the regularity of your cycle:

    Follicle-stimulating hormone (FSH)

    This hormone, released by a gland in the brain, stimulates the development of follicles in the ovary, which become eggs that can become fertilized every cycle.
    Luteinizing hormone (LH)

    Like FSH, LH is made in the brain and has roles in ovulation and regulating cycle length. 
    Estrogen

    A hormone that is made throughout the body and has a variety of actions. In people who menstruate, it’s dominant during the first half of their cycle.
    Progesterone

    A hormone made throughout the body and is dominant during the second half of the menstrual cycle.

    Your cycle length may vary because of individual factors, but your cycle regularity can be impacted by factors like stress and other conditions, such as type 2 diabetes, thyroid conditions, or polycystic ovarian syndrome (PCOS). 

    Why You Should Be Tracking Your Cycle

    1. Helps to monitor your fertility

    One of the primary reasons to track your cycle is to better understand your fertile window for family planning. Tracking the start and end to your cycle, along with cycle milestones like cervical mucous, can help you determine when—and when not to—time intercourse for your family planning goals.

    2. Helps to monitor changes in your hormones 

    Cycle regularity is determined by the interplay between the four major hormones: FSH, LH, estrogen, and progesterone. However, other hormones, such as thyroid hormone, can impact your menstrual cycle as well. Tracking your cycle can give clues to the changes in these hormones and how they interact with each other.

    3. Understand how stress affects your cycle

    Have you ever noticed a late period during a stressful time? Cortisol, your stress hormone, can also affect your cycle length and regularity. Track your cycle to better predict how stress can affect you. Moreover, you can track your cycle to understand if stress management techniques, like acupuncture, meditation, or other treatments, make an impact on your hormone health.

    4. Understand how body fat affects your cycle

    Body fat can impact your hormone production and how hormones interact with your reproductive organs. Too little body fat, as in the case of people struggling with eating disorders or extreme workout routines, can cause irregular menstrual cycles. In addition, people who have body mass indexes (BMI) of more than 30 kg/m2 can be predisposed to conditions like diabetes mellitus or PCOS, which can impact cycle length and regularity. Tracking your cycle can help you understand how body fat changes can affect your hormone health.

    5. Helps your doctor monitor your other medical conditions

    A primary care doctor or OB/GYN specialist typically asks about your cycle length and regularity during your visits. If your healthcare provider is working up a hormonal issue, such as menopause or infertility, they typically will ask for a blood draw on day 3 or day 21 of your cycle. 

    Knowing your cycle can help your doctor diagnose hormonal conditions and monitor other conditions. As mentioned previously, conditions such as thyroid disorders, PCOS, and diabetes can often impact your menstrual cycle. 

    Expert Cycle Tracking Tips From Dr. Salwan, ND

    Tracking your cycle can be as simple as a paper calendar or it can be logged in a mobile app. Here are tips from naturopathic doctor Dr. Salwan:

      • Track when your cycle starts: Your cycle starts on the day you notice spotting or bleeding for your period.
      • Track when your period phase ends: Note the last day of your period to calculate your period length.
      • Track when your cycle ends: Your cycle ends the day before your period starts again.
      • You can track your cervical mucous, discharge you notice, cramps you experience, and other symptoms like mood changes, bloating, acne, or breast tenderness as well. 
      • There are many mobile apps that you can log your cycle details in addition to other symptoms you may experience throughout your cycle. 
      • If you’re concerned about your digital privacy on mobile apps, you can always use a physical diary, journal, or calendar to track your cycle.

    Talking to a healthcare professional like your naturopathic doctor can help you decode your health through your cycle tracking.

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    5 Things You Should Know About Menopause

    Menopause, a pivotal life transition, marks the end of a woman’s menstrual cycles and signifies the conclusion of her reproductive years. The menopausal shift gives rise to a spectrum of physical and emotional changes, ranging from hot flashes and night sweats to mood swings and changes in bone density. 

    Beyond the physiological aspects, menopause also carries psychological and emotional dimensions, impacting a woman’s sense of identity and well-being. Navigating this transformative period involves understanding the diverse manifestations of menopausal symptoms, exploring available treatment options, and embracing lifestyle adjustments to promote overall health and resilience. 

    What is Menopause?

    Menopause is a natural part of a woman’s life that occurs when the ovaries stop releasing eggs and producing the hormones estrogen and progesterone. 

    There are a few phases to menopause, starting with perimenopause and ending in postmenopause: 

    Perimenopause

    Perimenopause refers to the transitional stage leading up to menopause, typically beginning in a woman's 40s but sometimes starting earlier.

    During perimenopause, hormone levels, particularly estrogen and progesterone, begin to fluctuate, leading to irregular menstrual cycles and various symptoms such as hot flashes, night sweats, mood swings, fatigue, and changes in libido.

    Perimenopause can last for several years, and the duration varies from woman to woman. It ends when a woman has not had a menstrual period for 12 consecutive months, marking the onset of menopause.

    Menopause

    Menopause marks the end of a woman's menstrual cycles and fertility. It is defined as the absence of menstruation for 12 consecutive months.

    The average age of natural menopause in women is around 51, but it can occur earlier or later. Factors such as genetics, smoking, and certain medical conditions can influence the timing of menopause.

    Postmenopause

    Postmenopause refers to the stage of life after menopause has been reached. It begins the day after a woman has gone 12 months without a menstrual period.

    During postmenopause, hormone levels, particularly estrogen, remain at consistently low levels. As a result, women may continue to experience symptoms such as vaginal dryness, hot flashes, and mood changes.

    Postmenopausal women are at increased risk of certain health conditions, including osteoporosis (due to decreased bone density), cardiovascular disease, and cognitive changes.

    Understanding the stages of menopause can help women navigate the physical and emotional changes associated with menopause and make informed decisions about their health and well-being.

    Hormones in Menopause

    The hormonal changes during menopause involve more than just a decrease in estrogen. The interplay of hormones from various glands, including the thyroid, pancreas, adrenals, and ovaries, is intricate and dynamic. It is crucial for your provider to understand how each hormone interacts and compensates for one another in order to help you achieve hormonal balance during menopause.

     

    Here are some key hormonal glands that your healthcare provider may consider:

    1. Thyroid gland – Thyroid disorders can mimic peri/menopausal symptoms such as weight gain, mood changes, fatigue, hair loss and sleep disturbance.
    2. Ovaries – Ovaries are the primary reproductive organs responsible for producing estrogen, progesterone, and small amounts of testosterone. During menopause, ovarian function declines, leading to a decrease in estrogen and progesterone production.
    3. Pancreas – The pancreas produces insulin, which helps regulate blood sugar levels and may influence weight management during menopause.
    4. Adrenals – Chronic stress during menopause can lead to dysregulation of adrenal function, resulting in symptoms such as fatigue, mood swings, and sleep disturbances. The adrenals are responsible for the stress response and take over production of estrogen, progesterone and testosterone in menopause.

    Five Things You Need To Know About Hormones in Menopause

    Here are five ways that hormones can impact your health during the different phases of menopause: 

    1. Hormones Fluctuate During Perimenopause:
      Perimenopause is characterized by fluctuating hormone levels, particularly estrogen and progesterone. These fluctuations can lead to irregular periods, hot flashes, mood swings, and other symptoms as the body adjusts to changing hormone levels. During this phase, testing for hormones can be a moving target. Collaborating with your healthcare professional can help avoid the trial-and-error approach when experimenting with various products and supplements.

    2. Low Hormone Levels in Postmenopause:
      After menopause, women experience a significant decrease in estrogen and progesterone levels, leading to various changes in the body. These changes can include decreased bone density, increased risk of cardiovascular disease, and changes in cognitive function.
    3. Hormones Impact Bones, the Brain, and the Cardiovascular System:
      The decrease in hormone levels postmenopause can have profound effects on bone health, brain function, and cardiovascular health. Estrogen plays a crucial role in maintaining bone density, so low estrogen levels can increase the risk of osteoporosis. Additionally, estrogen has neuroprotective effects and helps regulate the cardiovascular system, so its decline can affect brain function and cardiovascular health.
    4. Menopause is More Than Just About Estrogen and Progesterone:
      Menopause involves a complex interplay of hormones beyond just estrogen. While estrogen levels decline, other hormones such as progesterone, testosterone, and hormones produced by the adrenal glands also play a role in menopausal symptoms and overall health. Understanding how these hormones interact and compensate for each other is essential for managing menopausal symptoms and promoting overall well-being.
    5. Balancing Hormones Isn’t A One-Size-Fits-All:
      Achieving hormone balance during menopause involves more than just replacing estrogen. It requires a comprehensive approach that considers the interactions between various hormones and addresses individual symptoms and health concerns. This may involve lifestyle changes, hormone therapy, nutritional support, and other interventions tailored to each woman’s needs.

    By understanding the complexities of menopause and its impact on hormone levels, women can take proactive steps to manage symptoms, support their overall health, and navigate this important life transition more effectively.

    How Naturopathic Doctors Help

    Naturopathic doctors (NDs) take a holistic approach to assess and treat menopausal symptoms and related health concerns. They consider the interconnectedness of various bodily systems and focus on addressing the underlying causes of symptoms rather than merely managing them.

    Menopause is a significant life transition that can bring physical, emotional, and psychological changes for women. Naturopathic medicine offers holistic approaches to assess and treat menopausal symptoms, emphasizing individualized care, lifestyle modifications, natural therapies, and mind-body interventions. If you’re experiencing menopausal symptoms or approaching menopause, consult with a licensed naturopathic doctor to explore safe and effective treatment options tailored to your needs and goals.

    Get started with Dr. Salwan, ND or one of our NDs at Wildflower Health and Wellness today.

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