This document discusses how hormones change with aging and menopause. It notes that hormones are produced by various organs and tissues in the body, including the hypothalamus, pituitary gland, thyroid, parathyroid glands, pancreas, adrenal glands, kidneys, ovaries, and testes. These hormones decline with aging, which can affect functions like metabolism, bone health, blood glucose, and sex hormone levels. Symptoms of menopause like hot flashes and sleep issues are also discussed, as well as factors that affect the onset of menopause and treatment options. Depression is another common issue related to changing hormone levels during menopause.
Allison Taylor, MD, with the Center for Women's Health in Wichita, KS, presented about perimenopause and hormone therapy during a Women's Connection July 9, 2013, at Corporate Caterers. The event is sponsored by Via Christi Health.
Allison Taylor, MD, with the Center for Women's Health in Wichita, KS, presented about perimenopause and hormone therapy during a Women's Connection July 9, 2013, at Corporate Caterers. The event is sponsored by Via Christi Health.
If you experience difficulty in achieving an erection, so you can take a Vilitra pill without any doubt. This drug definitely renovates your missing love, happiness and satisfaction from your life.
Holistic physician, Dr. Vivian DeNise explains the difference between bio-identical hormone replacement therapy and synthetic hormones. She also details symptoms and medical conditions that may result from unbalanced hormones and benefits of getting balanced by an expert holistic doctor.
P Force works over impotence issue in men. Trusted pharmaceutical manufacturer, Sunrise Remedies Pvt. Ltd composed this medicine out of Sildenafil Citrate that helps in overcoming impotence in minutes. The medication is trusted by man for working well when consumed as prescribed.
Hormones are chemicals made in the body. They control how cells and organs work. With respect to hormone therapies, the only significant factor is whether the molecular structure of the replacement hormone exactly matches that of the natural hormone it is replacing. Our body identifies them as human-identical hormones and metabolizes them just as if our body had made them. As information about BHRT became available, interest in BHRT increased significantly. Now a day, Pharmaceutical companies are producing the hormone based drug which is containing same molecular formula but having different brand names. And their delivery to the body is also different.
Testosterone is the most important male sex hormone. It helps the body produce and maintain adult male features.
Low levels of testosterone affect a man’s sex drive, physical features and mood. About 5 million American men have low testosterone. Low testosterone can be treated with hormone replacement therapy.
Testosterone is the male hormone that controls fertility, muscle mass, and red platelet generation.When level of testosterone decreases or become lower than minimum required level it leads to conditions like hypogonadism or infertility. This blog will discuss how to treat low testosterone and what are the reasons of low testosterone.
Perfect Herbal Cure For Erectile Dysfunction With Proven And Effective Strate...gordonrsanto12
Booster capsule helps in improving erection hardness and reducing the problem of overweight or obesity. Mast Mood oil smoothens the muscles of the organ and blood vessels.
Herbal Treatment for Low Sperm Count, Vitamins to Boost Male Fertilitywessleyallen
Spermac and Vital M-40 capsule is the best herbal treatment for low sperm count to increase male fertility and enhance ejaculation power. Maca, American Ginseng, Garlic, Damiana are the best vitamins to boost male fertility naturally.
Dr. Houston Anderson is one of the premiere natural medicine doctors in Arizona. His office is located in Chandler, AZ, but many of his patients drive from Gilbert, Mesa, San Tan, Tempe and Ahwatukee for his specialized holistic care. The Top 3 Female Hormones Imbalances is a presentation he has made multiple times and loves to share with those searching for holistic healthcare.!
Ayurvedic Treatment For Impotence To Overcome Sexual WeaknessAyush Remedies
Tufan capsules provide the most effective ayurvedic treatment for impotence. These supplements increase male energy and help to overcome sexual weakness effectively.
If you experience difficulty in achieving an erection, so you can take a Vilitra pill without any doubt. This drug definitely renovates your missing love, happiness and satisfaction from your life.
Holistic physician, Dr. Vivian DeNise explains the difference between bio-identical hormone replacement therapy and synthetic hormones. She also details symptoms and medical conditions that may result from unbalanced hormones and benefits of getting balanced by an expert holistic doctor.
P Force works over impotence issue in men. Trusted pharmaceutical manufacturer, Sunrise Remedies Pvt. Ltd composed this medicine out of Sildenafil Citrate that helps in overcoming impotence in minutes. The medication is trusted by man for working well when consumed as prescribed.
Hormones are chemicals made in the body. They control how cells and organs work. With respect to hormone therapies, the only significant factor is whether the molecular structure of the replacement hormone exactly matches that of the natural hormone it is replacing. Our body identifies them as human-identical hormones and metabolizes them just as if our body had made them. As information about BHRT became available, interest in BHRT increased significantly. Now a day, Pharmaceutical companies are producing the hormone based drug which is containing same molecular formula but having different brand names. And their delivery to the body is also different.
Testosterone is the most important male sex hormone. It helps the body produce and maintain adult male features.
Low levels of testosterone affect a man’s sex drive, physical features and mood. About 5 million American men have low testosterone. Low testosterone can be treated with hormone replacement therapy.
Testosterone is the male hormone that controls fertility, muscle mass, and red platelet generation.When level of testosterone decreases or become lower than minimum required level it leads to conditions like hypogonadism or infertility. This blog will discuss how to treat low testosterone and what are the reasons of low testosterone.
Perfect Herbal Cure For Erectile Dysfunction With Proven And Effective Strate...gordonrsanto12
Booster capsule helps in improving erection hardness and reducing the problem of overweight or obesity. Mast Mood oil smoothens the muscles of the organ and blood vessels.
Herbal Treatment for Low Sperm Count, Vitamins to Boost Male Fertilitywessleyallen
Spermac and Vital M-40 capsule is the best herbal treatment for low sperm count to increase male fertility and enhance ejaculation power. Maca, American Ginseng, Garlic, Damiana are the best vitamins to boost male fertility naturally.
Dr. Houston Anderson is one of the premiere natural medicine doctors in Arizona. His office is located in Chandler, AZ, but many of his patients drive from Gilbert, Mesa, San Tan, Tempe and Ahwatukee for his specialized holistic care. The Top 3 Female Hormones Imbalances is a presentation he has made multiple times and loves to share with those searching for holistic healthcare.!
Ayurvedic Treatment For Impotence To Overcome Sexual WeaknessAyush Remedies
Tufan capsules provide the most effective ayurvedic treatment for impotence. These supplements increase male energy and help to overcome sexual weakness effectively.
What Women Need to Know About Heart DiseaseSummit Health
Do you know your risk for cardiac disease? Take a closer look at guidelines, tools, and techniques that can assess your own risk and learn the latest on preventing cardiovascular disease. This community lecture at Summit Medical Group offers information regarding cardiac screenings such as cholesterol testing, calcium scoring, stress testing and echocardiograms .
Susan L. Simandl, MD, FACC http://www.summitmedicalgroup.com/doctor/ssimandl/
Suzanne Shugg, BSN, MSN, RN, ACNP, DNP http://www.summitmedicalgroup.com/doctor/sshugg/
Helping Children Cope After Hurricane SandySummit Health
Natural disasters can be traumatic for children. Experiencing a dangerous or violent flood, storm, wildfire, or earthquake is frightening and the devastation to the familiar environment can be long lasting and distressing. Here are some common reactions in children and how you as a parent can help lessen the mental health impact felt.
WELCOME to Big Idea Guru. This is the place and platform where ideas are allowed to flow,to excrete your brain juices and even display your ideas.
of course let's start with ours first :) we have a whole range of tote bags, shoulder sling bags, cartoon character bags and many more!
what's more is we have our specially designed bookmarks. All handmade uniquely designed by me, so you can't find anywhere else! you are able to find some of my works at novena square too :) enjoy..
Our patient accounts staff answers to frequently asked billing questions at Summit Medical Group. Topics include bringing your insurance card to all medical visits, the ABC's of co-pays, deductibles and co-insurance, and the difference between in-network and out-of-network services.
Everything You Ever Wanted To Know About Your Child's NutritionSummit Health
New and experienced parents are invited to join us and learn about good nutrition and healthy dietary habits that can help children achieve and maintain a healthy weight for life!
BEATING THE BLUES: PRACTICAL SOLUTIONS FOR A COMMON HEALTH PROBLEMSummit Health
Lecture on depression, including information about causes, symptoms, and treatment. Learn to distinguish depression from feeling down. Find out how practical techniques can help improve short-term and long-term blue moods, sadness, and depression.
Dr A R Joshi
Qualification : MBBS,MD (Physiology)
Graduated from B.J. Medical College,Pune.Teaching experience in
medical colleges more 30years.Attached to many teaching institutes and
hospitals in Pune and abroad. Has prepared education DVDs in clinical
physiology and animal physiology which are reputed all over world. Has
worked as visiting professor in physiology at SSR Medical College,
Mauritius. Completed certificate course in sports medicine at NIS Patiala.
Working as member of editorial board of many journals. Has worked as
member of ethics committee, board of studies and academic council of
various universities.Has presented many research papers in national and
international conferences,few being prize winning. Has more than 40
publications in national and international journals.
Pediatric Talk: Managing Arthritis During the Holidays - Dr. Marla Guzman - ...Summit Health
While holiday celebrations and activities are great fun, it’s also a disruptor to the daily routine. Our expert will share tips to help you navigate holiday season stressors to minimize your child’s risk of a potential flare-up. This virtual event is hosted by the Arthritis Foundation.
Safety and Success in a Post-Pandemic Society - Daniela Accurso, MD, MPH - 7...Summit Health
The Covid-19 Pandemic has been a health crises that we have been fighting for the last year and a half. Dr. Accurso’s presentation is focused on reviewing how far we have come as a society and to address the questions, health concerns, and important precautions we need to take as we integrate ourselves back into a healthy community.
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...Summit Health
Sun safety needs to start at an early age, and continue throughout life, in order to reduce the risk for skin cancer. Learn about prevention and ways to reduce your risk, screening for skin cancer and innovations in treatments.
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...Summit Health
Sun safety needs to start at an early age, and continue throughout life, in order to reduce the risk for skin cancer. Learn about prevention and ways to reduce your risk, screening for skin cancer and innovations in treatments.
Shoulder Pain Relief: Common Rotator Cuff Injuries & Treatment Options - And...Summit Health
If you are experiencing shoulder pain, a rotator cuff tear could be the issue. Learn about how, and why, rotator cuff tears happen, how the condition and severity is diagnosed, and the non-surgical and surgical treatment options available.
My Knee Hurts! A Look at Joint Pain in Children - Marla Guzman, MD - 1.12.2021Summit Health
Is your child complaining of joint pain? Learn about concerning symptoms and when to seek medical advice. Our expert discusses the various causes of joint pains in children, how a pediatric rheumatologist evaluates musculoskeletal complaints, and available treatment options.
Mildred “Mitch” Bentler, MA, RD, CSP, CDE, presented a virtual lecture at on diabetes prevention. According to Ms. Bentler,
“A combination of small changes can really make an impact on lowering your blood sugar. Increasing physical activity and adopting healthier eating habits can go a long way to reducing your diabetes risk.”
Why Does My Stomach Ache? - Dennis Han, MD, Gastroenterologist - Morristown &...Summit Health
Do you have stomach issues which are bothering you and you can't figure out why? Learn about conditions that could be causing abdominal pain or discomfort at this virtual program. Our expert will discuss different conditions such as: Irritable Bowel Syndrome; Inflammatory Bowel Disease; Celiac Disease and other conditions that require a gluten-free diet; and GERD (Reflux). He will explain the differences between these various conditions, how they are diagnosed, and treatment options available. Hosted by Morristown & Morris Township Public Library.
Know Your Numbers and What They Mean for Your Overall Health - Madison Public...Summit Health
What does your blood pressure, BMI, cholesterol, blood sugar and vitamin levels tell you about your health? Our expert will discuss how these numbers tell a story, and why it’s important to understand what that story means to your overall health. Dr. Im-Imamura will also share tips for helping you get these numbers where they should be, and how increasing physical activity and improving nutrition are key factors that can impact those numbers in a good way.
Presented as part of the Madison Public Library Virtual Seminar Series.
Understanding Knee Arthritis and Cartilage Disorders - Maurice M. Pine Free P...Summit Health
Many people suffer from pain, swelling, stiffness, and loss of knee function as a result of knee arthritis. Our expert will discuss the causes, symptoms, and nonsurgical and surgical treatment options available. Hosted by Maurice M. Pine Free Public Library.
Pulmonologist, Jenny Kim, MD, FCCP of our Sleep Disorders Center partnered with the Livingston Health Department to present, Can’t Sleep? The ABCs of Your ZZZs to the community. During the session, Dr. Kim discussed tips for improving sleep and treatment options for common sleep disorders.
Christina Lavner, RDN, Nutrition Services, presented Healthy Eating for Cancer Survivorship, as the second session of our Now What? A Cancer Survivorship Speaker Series for patients wanting to learn more about nutrition that will benefit them during and after treatment. Be sure to check out upcoming presenters in this series and pass the word on to any patients you think would be interested in the information. The next presentation in this series is November 16, Coping with Treatment Side Effects, presented by Constance Gore, RN-APN
Guide to Eating an Anti-Inflammatory Diet Virtual Lecture - Christina Lavner,...Summit Health
An anti-inflammatory diet, along with exercise, can yield many health benefits, such as improved symptoms of many chronic conditions, reduced cancer risk, and a lower risk of obesity, heart disease, and diabetes. Learn more about this healthy way of eating and how to get started.
While most common in teens, the onset of acne can be troubling at any age. Depending on its severity, acne can cause emotional distress and scar the skin. The earlier you start treatment, the lower your risk of such problems. Learn about the causes of acne and effective treatment options for adolescents and adults.
Living a Heart Healthy Life - Liliana Cohen - West Orange Public Library - 2....Summit Health
Learn how to make healthy choices that impact heart health, the typical mistakes to avoid, and how to recognize the signs and symptoms of a heart attack.
Heart of the Matter - Ali Ahmad, MD, FACC - Livingston Library - 1.6.2020Summit Health
Heart disease is the leading killer of adults nationwide and it carries a significant morbidity for the population at risk. Learn about traditional and non-traditional risk factors associated with coronary artery disease, and how to modify your risk and prevent heart disease. Also, learn about how heart disease affects different ethnic backgrounds, particularly the high-risk groups, such as South Asians.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
3. HORMONES
Hormones are natural chemicals produced by the organs
and tissues of the body
Released into bloodstream and used by targeted organs
and control their function
Hormones are then broken down (metabolized) by body
after they are used
10. Factors that Affect the
Onset of Menopause
Earlier onset
Current smoking
Nulliparity
Pelvic radiation and chemotherapy
Medical treatment for depression
Familial
Later onset
Multiparity
Increased body mass index
Higher cognitive scores in childhood
Familial
14. Hot Flashes
Behavioral Interventions
Antidepressants : SSRI and SNRI
Gabapentin
Complementary and Alternative Therapy
Short term Hormone Therapy
15.
16. Sleep and Menopause
Frequent awakenings
Difficulty falling back to sleep
Difficulty falling asleep
More common in women with surgical menopause
Those with sleep difficulty are more likely to have
depressive symptoms
20. Hormones produced by Adipose
Leptin
Stimulates energy expenditure
Inhibits food intake
Restores euglycemia
Adiponectin
Increased insulin sensitivity
Energy expenditure
Reduced production of glucose by liver
Obesity is associated with Leptin Resistance
21. Obesity and Inflammation
Adipose (fat) is site of energy storage
As fat cells grow :
Invaded by Macrophages
TNF α and IL-6
Blocks insulin
Cause inflammation
Decrease in production of Adiponectin
24. Why It’s So Difficult to Lose
and Maintain Your Weight
Loss of sex hormones
Disruption of normal insulin function
Adipose tissue is self preserving
25. Depression
Ongoing feelings of sadness, guilt or hopelessness
Loss of interest in things you once enjoyed
Significant changes in sleep pattern
Fatigue or unexplained pain without cause
Changes in appetite
Feeling as though life isn’t worth living
26. Depression and Menopause
1.3 million women reach menopause annually
20% experience depression at some point
Risk is greater in perimenopause
Estradiol
decreases the level of enzyme that degrades 5HT and
Norepinephrine
increases the level of enzyme that produces serotonin
and norepinephrine
29. Additional References
• The Endocrine Society www.endo-society.org
• The Hormone Foundation www.hormone.org
• Highlights from the 66th Annual Meeting of the American Society for
Reproductive Medicine October 2010
• Mayo Clinic Proceedings June 2004
• Wwww.Women’s Health.gov
• Cleveland Clinic Center for Continuing Education
• Women’s Health Initiative: http://www.whiscience.org/
• The Heart and Estrogen/Progestin Replacement Study (HERS)
http://www.nhlbi.nih.gov