Menopause andropause

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Menopause andropause

  1. 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. 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. 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. 4. Testosterone (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
  5. 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. 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. 7. Menopause All it is and all it isn’t (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
  8. 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 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
  9. 9. Why are there symptoms?  The need for estrogen does not end with the end of fertility  Everyone—men and women—needs 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. 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. 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. 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. 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. 14. Why to treat it  Reduce risk of “men’s diseases” due to drop in estrogen  Heart Disease  Alzheimer’s  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. 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. 16. ANDROPAUSE (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
  17. 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. 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. 19. Testosterone and SHBG (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
  20. 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. 21. Role of Various Androgens (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com
  22. 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. 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. 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. 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. 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. 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. 28. The Endobiogeny approach  Natural 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
  29. 29. Examples of hormonal plants Estrogen-like Progesterone-like Testosterone-like Sage (Salviaofficinalis) Yarrow (Achilleamillefolium) Eleuthro (Eleuthrococcussenticocc us) Clary sage (Salvia sclarea) Lady’s 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. 30. QUESTIONS and DISCUSSION (c) 2013: Full Spectrum Health: An Endobiogeny Medical Center www.fshcenter.com

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