menopause andropause
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Menopause and AndropauseKamyar M . Hedayat, MD, Medical DirectorFull Spectrum Health: An Endobiogeny Medical Center6480 Weathers Place Ste 106, San Diego, Ca 92121www.fshcenter.com858-455-9726
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
INTRODUCTIONLife is a series of natural transitions
Fetal life to birthAdolescenceAdulthoodMenopause/AndropauseSenescence
However, living is a series of adaptations and modifications of these transitions
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
ObjectivesHormone review
What is a hormone?Where do they come
from?Menopause
What it isWhy it comes aboutSymptomsTreatment options
AndropauseWhat it isWhy it comes aboutSymptomsTreatment options
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Hormones: A brief review
Testosterone
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
HormonesHormones are chemical messengers that
manage the metabolism of the bodyMetabolism includes how cells and tissues
are built, recycles and built againHormones affect our feelings, mood, strength
of bones, muscles, tendons, etc., immunity, determine our sex, our gender and much more
Hormones manage our reaction to every stress, and all the grand transitions in life, including menopause and andropause
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Sex HormonesCHOLESTER
OLPROGESTERO
NE
DHEA
TESTOSTERONE
DIHYDRO- TESTOSTERO
NE
ESTROGENS
ADRENAL
GLAND
GONADS
FAT CELLSLIVER
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
MenopauseAll it is and all it isn’t
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Menopause: What it isMenopause is when the monthly (meno-)
menstrual cycle ends (-pause) Purpose of menstrual cycle: prepare a woman
for a possible pregnancy every month with large increases in estrogen, then, progesterone
All a woman’s eggs are present at birth. They mature at a certain age, then involute over time
When the period of fertility has ended, the body ceases to expend energy on this monthly cycle…Menopause
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Why are there symptoms?The need for estrogen does not end with the
end of fertilityEveryone—men and women—needs estrogen
to liveEstrogen builds tissues, helps with energy
production, helps stabilize mood, improves quality of skin, helps with lubrication, balances role of testosterone
The symptoms of menopause from the attempt to find another way to make estrogen (and progesterone) that does not involve the ovaries
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Decline in Estrogen Production
…three back-up ways to make estrogen: Adrenal glands, fat, liver
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Recall:CHOLESTER
OLPROGESTERO
NE
DHEA
TESTOSTERONE
DIHYDRO- TESTOSTERO
NE
ESTROGENS
ADRENAL
GLAND
GONADS
FAT CELLSLIVER
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Symptoms of Menopause
Most symptoms of menopause arise from
• Over-stimulating Adrenals with the nervous system
• Over-producing testosterone
• Under-producing Estrogens
• Over-accumulation of fat (for estrogens)
• Congesting the liver
• Low kidney chi
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
What to do?Is Menopause a
disease? NoShould it be treated?
Yes: if it is symptomatic
The goal of life is to seek balance
With increase in life span, live better instead of merely longer becomes more imperative
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Why to treat itReduce risk of “men’s diseases” due to drop
in estrogenHeart DiseaseAlzheimer’s
Reduce risk of “female diseases”Osteoporosis
As well as quality of life issues: LibidoSkin qualityMood imbalances, etc.
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
How to treat itHormonal
Synthetic hormonesBio-identical
hormonesMedicinal plants
NutritionalEnergetic:
Acupuncture
Metabolic: Oxygen therapies
Structural: Massage, Chi Ni tsang
Detoxification: IR sauna, medical detox
Aesthetics: Acupuncture, oxygen therapies
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
ANDROPAUSE
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
What it isAndropause is a decline in testosterone
productionAndropause is not simply “male menopause”
Men are more dependent on testosterone than women
Decline is slow, not suddenSymptoms are more subtleCulturally and medically, andropause is either
brushed off as “mid-life crisis” or ignored
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Why it occursSimilar to women, andropause is related in
part to fertility needs and virilityHowever, unlike women, men are constantly
producing new sperm throughout their adult lives
With advancing age, the need for a high amount of androgens declines
What makes andropause more complicated is the relationship of testosterone with sex hormone binding globulin, androgen receptors, and estrogen
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Testosterone and SHBG
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Pseudo-AndropauseLiver disease Beta blockersZinc deficiencyMagnesium deficiencyAlcohol consumptionChronic marijuana useSedatives
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Role of Various Androgens
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Symptoms of AndropauseUsually, we see a decline in one or two of the
major androgens, not just Testosterone: DHEA, Testosterone, DHT Low sex drive Mood instability, irrational decision makingDecreased muscle mass Loss of muscle strength Increased upper and central body fat Osteoporosis or weak bones and back pain
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
DHT Over-compensationOften we see an over-conversion of testosterone to DHT:
Cardiovascular risk Male pattern hair lossProstate issues
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Recall:CHOLESTER
OLPROGESTERO
NE
DHEA
TESTOSTERONE
DIHYDRO- TESTOSTERO
NE
ESTROGENS
ADRENAL
GLAND
GONADS
FAT CELLSLIVER
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Risks of hormonal treatmentAccording to advocates of hormonal
treatment, risks of male hormonal replacement may include:Male breast cancerProstate cancerBlood clotsIncreased heart diseaseDiabetes (from increased insulin resistance)Kidney diseaseSwelling of the hands and feet
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Treatment OptionsHormonal
Synthetic hormonesBio-identical
hormonesMedicinal plants
NutritionalEnergetic:
Acupuncture
Metabolic: Oxygen therapies
Structural: Massage, Chi nit san
Detoxification: IR sauna, medical detox
Aesthetics: Acupuncture, oxygen therapies
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Bio-identical hormones-bewareBio-identical hormones are almost the same
as synthetic hormones: Concentrated and aggressive Force your body to use what it is given without
being to able to regulate it in a natural wayOften requires monthly blood tests, changing
the doses of your “cocktail” and a lot of trial and error
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
The Endobiogeny approachNatural plant therapy: Whole-plant therapies
Encourage your body’s natural production of hormones
Improve your body’s sensitivity to hormones.Does not require monthly testing Does not require “cocktails” of hormones
Diet: Eating the right foods can help your body make more sex hormones from back up sources
Lifestyle: managing stress and body image issues is also important
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
Examples of hormonal plantsEstrogen-like Progesterone-like Testosterone-like
Sage (Salvia officinalis)
Yarrow (Achillea millefolium)
Eleuthro (Eleuthrococcus senticoccus)
Clary sage (Salvia sclarea)
Lady’s mantle (Alchemilla vulgaris)
Ginger (Zingiber officinalis)
Maca (Lepidium meyenii)
Maca (Lepidium meyenii)
Ginseng (Panax ssp.) Ginseng (Panax ssp.)
(c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
QUESTIONS and DISCUSSION