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Menopause andropause
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
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
7. Menopause
All it is and
all it isn’t
(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 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. 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. 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
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 “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. 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
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
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 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. 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