menopause andropause

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  • 1. Kamyar M . Hedayat, MD, Medical Director Full Spectrum Health: An Endobiogeny Medical Center 6480 Weathers Place Ste 106, San Diego, Ca 92121 www.fshcenter.com 858-455-9726

2. INTRODUCTION Life is a series of natural transitions Fetal life to birth Adolescence Adulthood Menopause/Andropause Senescence However, living is a series of adaptations and modifications of these transitions (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com 3. Objectives Hormone review What is a hormone? Where do they come from? Menopause What it is Why it comes about Symptoms Treatment options Andropause What it is Why it comes about Symptoms Treatment options (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com 4. Testosterone (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com 5. Hormones Hormones are chemical messengers that manage the metabolism of the body Metabolism includes how cells and tissues are built, recycles and built again Hormones 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 6. Sex Hormones CHOLESTEROL PROGESTERONE DHEA TESTOSTERONE DIHYDRO- TESTOSTERONE ESTROGENS ADRENAL GLAND GONADS FAT CELLSLIVER (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com 7. Menopause All it is and all it isnt (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com 8. Menopause: What it is Menopause 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 womans 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 cycleMenopause (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com 9. Why are there symptoms? The need for estrogen does not end with the end of fertility Everyonemen and womenneeds estrogen to live Estrogen 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 10. 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 11. Recall: CHOLESTEROL PROGESTERONE DHEA TESTOSTERONE DIHYDRO- TESTOSTERONE ESTROGENS ADRENAL GLAND GONADS FAT CELLSLIVER (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com 12. 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 13. What to do? Is Menopause a disease? No Should 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 14. Why to treat it Reduce risk of mens diseases due to drop in estrogen Heart Disease Alzheimers Reduce risk of female diseases Osteoporosis As well as quality of life issues: Libido Skin quality Mood imbalances, etc. (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com 15. How to treat it Hormonal Synthetic hormones Bio-identical hormones Medicinal plants Nutritional Energetic: 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 16. ANDROPAUSE (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com 17. What it is Andropause is a decline in testosterone production Andropause is not simply male menopause Men are more dependent on testosterone than women Decline is slow, not sudden Symptoms are more subtle Culturally 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 18. Why it occurs Similar to women, andropause is related in part to fertility needs and virility However, 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 19. Testosterone and SHBG (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com 20. Pseudo-Andropause Liver disease Beta blockers Zinc deficiency Magnesium deficiency Alcohol consumption Chronic marijuana use Sedatives (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com 21. Role of Various Androgens (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com 22. Symptoms of Andropause Usually, 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 making Decreased 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 23. DHT Over-compensation Often we see an over-conversion of testosterone to DHT: Cardiovascular risk Male pattern hair loss Prostate issues (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com 24. Recall: CHOLESTEROL PROGESTERONE DHEA TESTOSTERONE DIHYDRO- TESTOSTERONE ESTROGENS ADRENAL GLAND GONADS FAT CELLSLIVER (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com 25. Risks of hormonal treatment According to advocates of hormonal treatment, risks of male hormonal replacement may include: Male breast cancer Prostate cancer Blood clots Increased heart disease Diabetes (from increased insulin resistance) Kidney disease Swelling of the hands and feet (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com 26. Treatment Options Hormonal Synthetic hormones Bio-identical hormones Medicinal plants Nutritional Energetic: 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 27. Bio-identical hormones-beware Bio-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 way Often 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 28. The Endobiogeny approach Natural plant therapy: Whole-plant therapies Encourage your bodys natural production of hormones Improve your bodys 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 29. Examples of hormonal plants Estrogen-like Progesterone-like Testosterone-like Sage (Salviaofficinalis) Yarrow (Achilleamillefolium) Eleuthro (Eleuthrococcussenticocc us) Clary sage (Salvia sclarea) Ladys mantle (Alchemillavulgaris) Ginger (Zingiberofficinalis) Maca (Lepidiummeyenii) Maca (Lepidiummeyenii) Ginseng (Panax ssp.) Ginseng (Panax ssp.) (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com 30. QUESTIONS and DISCUSSION (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com