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Marie Hoäg, MBA
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Perimenopause, Menopause, & the Vagina
How estrogen and estrogen deficiencies effect the vagina

during perimenopause and menopause.
What Happens To The Vagina When We Age
We age because our hormones decline. This sends a signal to the brain
telling it you’re no longer in a state of reproduction and your production
factory is closed for business. This gets triggered by estrogen levels.
When Estrogen Gets Too Low
When estrogen gets too low, a woman will develop problems with vaginal
dryness, painful intercourse, or dyspareunia. Other symptoms of low
estrogen include endometriosis and interstitial cystitis. She can also
develop vulvodynia, which is a painful vagina with or without stimulation.
The Collapse of the Vaginal Wall
The absence of estrogen results in decreased collagen
and vaginal muscle wall strength due to tissue atrophy.
Prolapsed Uterus
When the vaginal walls fail to support other
organs, these other organs prolapse as well.
Pelvic Organ Prolapse

The entire pelvic floor takes a crash without adequate
levels of estrogen.
Clitoral Atrophy
Clitoral Atrophy is when the clitoris shrivels up
into hiding and non responsive to touch
Incontinence
When a woman can no longer “hold up” her organs or
control sphincter muscles, they will pee their pants.
All Dried Up
When we lose estrogen, we lose ALL fluids in our
bodies, everywhere.
Being All Dried Up results in……
Vaginal Dryness
Vaginal dryness is a common problem of low
estrogen, with the lack of ability to secrete lubrication.
Sexual response is compromised, ability to orgasm is
significantly compromised.
Urinary Tract Infections
Women are more susceptible to Urinary Tract
Infections when they’re estrogen deficient because
there’s no more lubrication to cleanse out the system.
Yeast Infections
Women are more susceptible to yeast infections when
they’re estrogen deficient because there’s no more
lubrication to cleanse out the system.
Painful Intercourse
Without fluids in the vagina to act as a natural
lubricant, it will be painful for women to have

sex due to friction on the vaginal walls.
Clitoral Atrophy
When the clitoris atrophies, it goes into hiding and
doesn’t want to be found. Will not respond to
touch, in fact it will be irritated to touch.
Insensitive Touch Response
Sex is in the brain for a woman. Without
emotional sexual stimulation, the brain doesn’t
send out messages to lube up or respond to touch.
In fact, there’s a built in repellant effect.
Lack Emotional Connect

Without estrogen, a woman is unable to make
emotional connects. Women who don’t
emotionally connect, don’t have sex.
How Does One Become Estrogen Deficient?
• Epigenetics

• Insufficient sleep

• Medications

• Stress

• Inadequate Nutrition

• Environment

• Sedentary Lifestyle

• Toxins
Why Isn’t My Ob-Gyn Talking About This?
Doctors, including Ob-Gyn’s and Endocrinologists, are
taught in medical school to treat the symptoms of
diseases instead of treating the root cause of the disease,
or preventing it in the first place.
The Conventional Medicine Approach
Keep the patient with the disease but treat the

symptoms of the disease with surgeries and
pharmaceutical drugs.

This is a good business model for pharmaceutical
companies.
Female Genital Cosmetic Surgery
There is little evidence to support any of the female genital
cosmetic surgeries in terms of improvement to sexual
satisfaction or self-image. Physicians choosing to proceed
with these cosmetic procedures should not promote these
surgeries for the enhancement of sexual function and
advertising of female genital cosmetic surgical procedures
should be avoided.
Female genital cosmetic surgery., J Obstet Gynaecol Can. 2013 Dec;35(12):1108-12.
Functional Menopause Medicine
Functional Menopause Medicine is designed to get
to the root cause of the problem, and fix it as
naturally as possible.
The Estrogen Remodel
Estrogen remodels the vaginal wall by increasing
smooth muscle and collagen giving it increased
thickness, support, and adequate lubrication.
The Estrogen Effect
It’s estrogen’s role to maintain the health of the reproductive
organs, the reproductive cycle, and vaginal health. If estrogen
levels are suboptimal or deficient, the patient’s reproductive
health deteriorates.
Fourth Generation HRT

If you need help finding a 4th generation HRT specialist, email me for
a referral at info@menopausetalkradio.com
If you are interested in learning more, or if
your doctor is interested in being trained in
The Panacea Protocol: Bioidentical Cyclic

Dosed Hormone Restoration Systems™,
please email info@PanaceaSciences.com
Upcoming Shows
Wed

3/5/2014

I Shaved My Legs for This?

Thu

3/6/2014

The Perimenopausal Drunk

Fri

3/7/2014

The Moxie Show
• FaceBook

facebook.com/MenopauseTalkRadio

• GoodReads

goodreads.com/menopausemoxie

• Google+

plus.google.com/+Menopausemoxie/

• LinkedIn

linkedin.com/in/mariehoag/

• Meetup

meetup.com/Estrogen-Girls-Club/

• Pinterest

pinterest.com/menopausemoxie/

• Twitter

twitter.com/MenopauseRadio
Thank you for listening spending your time with me. I
know how busy things can get, and it means a lot you
chose to listen and share this information.
We’d love to hear from you. Please email the showand
tell us what you’d like to hear at
info@menopausetalkradio.com.

If you enjoyed the show, please forward it to a friend
you think may enjoy it as well.
Recommended Pharmaceutical Grade Supplements

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Access Code: Moxie
Practitioner Code: Hoag
RegeneMax™ provides ch-OSA® (cholinestabilized orthosilicic acid), that helps
naturally nourish your body’s beauty
proteins. Regular orthosilicic acid is highly
unstable, leading it to form polymers. These
polymers are too large for the human body
to absorb. But the patented “choline
stabilization” technology in RegeneMax
prevents the polymers from forming,
ensuring optimal absorption. RegeneMax
has been formulated with clinically proven
ch-OSA for your assurance.
Estro Harmony™ is for women who want
relief from menopausal hot flashes and
support for breast health. Research
suggests the ingredients in this formula
can also benet cardiovascular status and
bone remodeling.
This all-natural formula delivers a
proprietary blend of plant lignan extract
and 8-prenylnaringenin (8-PN) from hops,
at clinically relevant levels, to support the
body’s natural process of healthy
aromatase activity and exert phytoestrogen
(e.g., enterolactone) and antioxidant
activity.
ActivEssentials™ for Women is a
combination of four targeted
nutritional formulas packaged
together to provide convenient and
comprehensive nutritional support.
MedCaps Menopause™ is a unique
combination
blend
that
is
formulated to provide nutritional
targeted nourishment for women
during menopause. It features
specially selected herbs and
nutrients that support the adrenal
glands’ adaptive response as well
as support circulation, relaxation
and overall well-being. Featuring a
non soy derived source of
isoflavones, MedCaps Menopause
may also beneficially influence
estrogen receptor function.
Melatonin CR is a vegetarian formula with
a biphasic delivery system that releases
melatonin quickly and then steadily.
Melatonin is naturally produced in the
pineal gland in response to changes in light
exposure; it helps promote healthy sleep
patterns as well as antioxidant and immune
activities. Melatonin CR can support these
functions by helping to maintain normal
levels of melatonin in the body.
PMS
Soothe™
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comprehensive blend of
Native
American
and
Chinese herbs traditionally
used to provide balance
and support for a healthy
menstrual cycle.
RelaxMax™ is an innovative formula in
the form of cherry-flavored, powdered
drink mix. It contains a blend of
ingredients that supports the body's
natural synthesis of catecholamines, the
inhibitory neurotransmitter GABA,
hormonal balance, and healthy glucose
metabolism. RelaxMax aims to promote
a calm, relaxed, well-balanced
emotional and physiological state.
The XYMOGEN Mitochondrial
Renewal Kit (MRK) is formulated to
support and promote mitochondrial
biogenesis and function. MRK
supplies three active, orally bioavailable
formulations—N.O.max ER™,
Resveratin™ Plus, and ALAmax
CR™—which function synergistically
to support the critical role that
mitochondria play in metabolism. The
patented functional components found
in the MRK are safe, well-tolerated, and
have been uniquely prepared to enhance
both absorption and overall
bioavailability in order to maximize
patient benefit and satisfaction.
Hormone Protect™ is an ideal
combination of DIM
(diindolylmethane) and SGS™
(glucoraphanin) that helps protect
estrogen-sensitive tissues by
promoting healthy estrogen
metabolism and supporting
detoxification and neutralization
of harmful estrogen metabolites
and xenoestrogens.
ProbioMax DDS™ is a chewable
probiotic designed to activate in
the oral cavity for support of
healthy teeth and gums.
As you chew it releases the safe
and powerful DDS-18™ strain of
Streptococcus
salivarius—a
beneficial bacterium that normally
occurs in a healthy oral cavity. S
salivarius DDS-18 then attaches to
cells in the oral cavity and
colonizes, positively affecting the
bacterial population therein and
naturally defending the teeth and
gums.
All the information in this podcast is intended for educational purposes
only, and should not be construed as personal medical advice. Marie
Hoag, MBA is not a physician, and does not give medical advice. She
encourages you to do your own research and to make your own health
care decisions with the guidance of a qualified physician.

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Effects of Estrogen Decline on the Vagina

  • 1.
  • 2. Marie Hoäg, MBA The Host Button Annoying dog in background
  • 3. Perimenopause, Menopause, & the Vagina How estrogen and estrogen deficiencies effect the vagina during perimenopause and menopause.
  • 4. What Happens To The Vagina When We Age We age because our hormones decline. This sends a signal to the brain telling it you’re no longer in a state of reproduction and your production factory is closed for business. This gets triggered by estrogen levels.
  • 5.
  • 6. When Estrogen Gets Too Low When estrogen gets too low, a woman will develop problems with vaginal dryness, painful intercourse, or dyspareunia. Other symptoms of low estrogen include endometriosis and interstitial cystitis. She can also develop vulvodynia, which is a painful vagina with or without stimulation.
  • 7. The Collapse of the Vaginal Wall The absence of estrogen results in decreased collagen and vaginal muscle wall strength due to tissue atrophy.
  • 8. Prolapsed Uterus When the vaginal walls fail to support other organs, these other organs prolapse as well.
  • 9. Pelvic Organ Prolapse The entire pelvic floor takes a crash without adequate levels of estrogen.
  • 10. Clitoral Atrophy Clitoral Atrophy is when the clitoris shrivels up into hiding and non responsive to touch
  • 11. Incontinence When a woman can no longer “hold up” her organs or control sphincter muscles, they will pee their pants.
  • 12. All Dried Up When we lose estrogen, we lose ALL fluids in our bodies, everywhere. Being All Dried Up results in……
  • 13. Vaginal Dryness Vaginal dryness is a common problem of low estrogen, with the lack of ability to secrete lubrication. Sexual response is compromised, ability to orgasm is significantly compromised.
  • 14. Urinary Tract Infections Women are more susceptible to Urinary Tract Infections when they’re estrogen deficient because there’s no more lubrication to cleanse out the system.
  • 15. Yeast Infections Women are more susceptible to yeast infections when they’re estrogen deficient because there’s no more lubrication to cleanse out the system.
  • 16. Painful Intercourse Without fluids in the vagina to act as a natural lubricant, it will be painful for women to have sex due to friction on the vaginal walls.
  • 17. Clitoral Atrophy When the clitoris atrophies, it goes into hiding and doesn’t want to be found. Will not respond to touch, in fact it will be irritated to touch.
  • 18. Insensitive Touch Response Sex is in the brain for a woman. Without emotional sexual stimulation, the brain doesn’t send out messages to lube up or respond to touch. In fact, there’s a built in repellant effect.
  • 19. Lack Emotional Connect Without estrogen, a woman is unable to make emotional connects. Women who don’t emotionally connect, don’t have sex.
  • 20. How Does One Become Estrogen Deficient? • Epigenetics • Insufficient sleep • Medications • Stress • Inadequate Nutrition • Environment • Sedentary Lifestyle • Toxins
  • 21. Why Isn’t My Ob-Gyn Talking About This? Doctors, including Ob-Gyn’s and Endocrinologists, are taught in medical school to treat the symptoms of diseases instead of treating the root cause of the disease, or preventing it in the first place.
  • 22. The Conventional Medicine Approach Keep the patient with the disease but treat the symptoms of the disease with surgeries and pharmaceutical drugs. This is a good business model for pharmaceutical companies.
  • 23. Female Genital Cosmetic Surgery There is little evidence to support any of the female genital cosmetic surgeries in terms of improvement to sexual satisfaction or self-image. Physicians choosing to proceed with these cosmetic procedures should not promote these surgeries for the enhancement of sexual function and advertising of female genital cosmetic surgical procedures should be avoided. Female genital cosmetic surgery., J Obstet Gynaecol Can. 2013 Dec;35(12):1108-12.
  • 24. Functional Menopause Medicine Functional Menopause Medicine is designed to get to the root cause of the problem, and fix it as naturally as possible.
  • 25. The Estrogen Remodel Estrogen remodels the vaginal wall by increasing smooth muscle and collagen giving it increased thickness, support, and adequate lubrication.
  • 26. The Estrogen Effect It’s estrogen’s role to maintain the health of the reproductive organs, the reproductive cycle, and vaginal health. If estrogen levels are suboptimal or deficient, the patient’s reproductive health deteriorates.
  • 27.
  • 28. Fourth Generation HRT If you need help finding a 4th generation HRT specialist, email me for a referral at info@menopausetalkradio.com
  • 29. If you are interested in learning more, or if your doctor is interested in being trained in The Panacea Protocol: Bioidentical Cyclic Dosed Hormone Restoration Systems™, please email info@PanaceaSciences.com
  • 30. Upcoming Shows Wed 3/5/2014 I Shaved My Legs for This? Thu 3/6/2014 The Perimenopausal Drunk Fri 3/7/2014 The Moxie Show
  • 31. • FaceBook facebook.com/MenopauseTalkRadio • GoodReads goodreads.com/menopausemoxie • Google+ plus.google.com/+Menopausemoxie/ • LinkedIn linkedin.com/in/mariehoag/ • Meetup meetup.com/Estrogen-Girls-Club/ • Pinterest pinterest.com/menopausemoxie/ • Twitter twitter.com/MenopauseRadio
  • 32. Thank you for listening spending your time with me. I know how busy things can get, and it means a lot you chose to listen and share this information. We’d love to hear from you. Please email the showand tell us what you’d like to hear at info@menopausetalkradio.com. If you enjoyed the show, please forward it to a friend you think may enjoy it as well.
  • 33. Recommended Pharmaceutical Grade Supplements Xymogen eStore https://store.xymogen.com/Login.aspx Access Code: Moxie Practitioner Code: Hoag
  • 34. RegeneMax™ provides ch-OSAÂŽ (cholinestabilized orthosilicic acid), that helps naturally nourish your body’s beauty proteins. Regular orthosilicic acid is highly unstable, leading it to form polymers. These polymers are too large for the human body to absorb. But the patented “choline stabilization” technology in RegeneMax prevents the polymers from forming, ensuring optimal absorption. RegeneMax has been formulated with clinically proven ch-OSA for your assurance.
  • 35. Estro Harmony™ is for women who want relief from menopausal hot flashes and support for breast health. Research suggests the ingredients in this formula can also benet cardiovascular status and bone remodeling. This all-natural formula delivers a proprietary blend of plant lignan extract and 8-prenylnaringenin (8-PN) from hops, at clinically relevant levels, to support the body’s natural process of healthy aromatase activity and exert phytoestrogen (e.g., enterolactone) and antioxidant activity.
  • 36. ActivEssentials™ for Women is a combination of four targeted nutritional formulas packaged together to provide convenient and comprehensive nutritional support.
  • 37. MedCaps Menopause™ is a unique combination blend that is formulated to provide nutritional targeted nourishment for women during menopause. It features specially selected herbs and nutrients that support the adrenal glands’ adaptive response as well as support circulation, relaxation and overall well-being. Featuring a non soy derived source of isoflavones, MedCaps Menopause may also beneficially influence estrogen receptor function.
  • 38. Melatonin CR is a vegetarian formula with a biphasic delivery system that releases melatonin quickly and then steadily. Melatonin is naturally produced in the pineal gland in response to changes in light exposure; it helps promote healthy sleep patterns as well as antioxidant and immune activities. Melatonin CR can support these functions by helping to maintain normal levels of melatonin in the body.
  • 39. PMS Soothe™ is a comprehensive blend of Native American and Chinese herbs traditionally used to provide balance and support for a healthy menstrual cycle.
  • 40. RelaxMax™ is an innovative formula in the form of cherry-flavored, powdered drink mix. It contains a blend of ingredients that supports the body's natural synthesis of catecholamines, the inhibitory neurotransmitter GABA, hormonal balance, and healthy glucose metabolism. RelaxMax aims to promote a calm, relaxed, well-balanced emotional and physiological state.
  • 41. The XYMOGEN Mitochondrial Renewal Kit (MRK) is formulated to support and promote mitochondrial biogenesis and function. MRK supplies three active, orally bioavailable formulations—N.O.max ER™, Resveratin™ Plus, and ALAmax CR™—which function synergistically to support the critical role that mitochondria play in metabolism. The patented functional components found in the MRK are safe, well-tolerated, and have been uniquely prepared to enhance both absorption and overall bioavailability in order to maximize patient benefit and satisfaction.
  • 42. Hormone Protect™ is an ideal combination of DIM (diindolylmethane) and SGS™ (glucoraphanin) that helps protect estrogen-sensitive tissues by promoting healthy estrogen metabolism and supporting detoxification and neutralization of harmful estrogen metabolites and xenoestrogens.
  • 43. ProbioMax DDS™ is a chewable probiotic designed to activate in the oral cavity for support of healthy teeth and gums. As you chew it releases the safe and powerful DDS-18™ strain of Streptococcus salivarius—a beneficial bacterium that normally occurs in a healthy oral cavity. S salivarius DDS-18 then attaches to cells in the oral cavity and colonizes, positively affecting the bacterial population therein and naturally defending the teeth and gums.
  • 44. All the information in this podcast is intended for educational purposes only, and should not be construed as personal medical advice. Marie Hoag, MBA is not a physician, and does not give medical advice. She encourages you to do your own research and to make your own health care decisions with the guidance of a qualified physician.

Editor's Notes

  1. Our society puts so much pressure for us to look beautiful, and looking beautiful in our society and
  2. Our society puts so much pressure for us to look beautiful, and looking beautiful in our society and
  3. Our society puts so much pressure for us to look beautiful, and looking beautiful in our society and
  4. Not all HRT is the same