Perimenopause - The Sneak Attack

Irritability, insomnia and overall lack of well-being.  Could it be Perimenopause? It’s the stuff that flies under the radar that ultimately takes us down.  Perimenopause is the classic stealth life-wrecker.  Why?  Because the symptoms seem so vague, sometimes come on so slowly and are so often ignored by our gynecologists and primary care docs that we simply don’t know any better.

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The Truth is in the Story

Let’s compare that to the fact that the third-party-payer system (insurance) which drives healthcare trends, policies and practices... they don't pay for listening.  Hmmm.  That's a real disconnect.  In fact, if an insurance-covered doctor were to listen (i.e., spend more than 7 minutes with a patient) all day long... and not get paid for that time... soon the math wouldn't work on paying the rent, nurses and administrative staff salaries and the doors would quickly close. 

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Estrogen – Fights Cancer and Alzheimers?!

This is the puzzled question I get from my patients when we discuss healthy estrogen metabolism.  When you figure out how estrogen breaks down in the liver, you quickly learn that while the type of estrogen you take makes a big difference - what your body does with that estrogen, makes all difference in the world.

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Estrogen Dominance

In the healthy woman, estrogen and progesterone (the two primary female reproductive hormones) exist in balance with one another.  Estrogen dominance occurs when estrogen is not balanced in the body with enough progesterone.  In this case there might be too much estrogen, too little progesterone, or both.  There are many different health scenarios that may lead to this imbalance.  Further, estrogen dominance is often closely associated with poor estrogen processing, which only adds to the problems and risks associated with estrogen dominance.

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