Menopause & Perimenopause Memphis TN

When women get older they experience perimenopause and menopause, which begin and end at different times for different women. Menopause and perimenopause mark a change in a woman's life that affects her psychologically as well as physically. To learn more about menopause and perimenopause, read the following articles.
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Doctor, Just What is a Hot Flash? Memphis TN

Hot flashes are described as a feeling or wave of heat that often seems to engulf the upper torso and head. It is a feeling of intense warmth that may spread like a wave over the upper body, and typically lasts from 30 seconds to 3 or 4 minutes.

Women Seek Help for Menopausal Symptoms Earlier in Life Memphis TN

Women are more likely to inquire about their menopausal symptoms because they want to plan for the life changes it will bring, Dr. Stuenkel said. “They want to feel they have the advantage of anticipating this transition, and they want to be like they are in other phases of their life, one step ahead of the game,” she said.

Assessment of Soy Phytoestrogens' Effects on Bone Turnover Indicators Memphis TN

Osteoporosis is a very common disease of bone, and fragility fractures (i.e. fractures in the absence of relevant trauma) are its typical complication and the most common presenting sign. For many years, the diagnosis of osteoporosis was made only after the sudden occurrence of a fragility fracture. The most frequent sites of bone fragility fractures are wrist, vertebrae, hip, ribs and humerus. While hip fractures have always been considered a cause of severe disability and loss of independence, there is now increasing awareness that all fractures substantially affect the patient's quality of life.

What are "Designer Estrogens"? Memphis TN

Tamoxifen and Evista (raloxifene), have some of these properties. Tamoxifen is the first SERM used by mainly breast cancer patients and has been shown to block the return of breast cancer in the other breast by 40 percent. The risk associated with Tamoxifen is that it may increase risk of developing blood clots and uterine cancer. Tamoxifen in postmenopausal women acts as an estrogen on bones and increases bone density, increases bone mass 1-3% per year. Neither Tamoxifen or Evista are as effective as Estrogen Replacement Therapy for increasing bone mass, or relieving hot flashes.

Non-rigid Registration of a 3D Ultrasound and a MR Image Data Set of the Female Pelvic Floor Memphis TN

It is a clinical necessity to enhance the information contained in imaging for diagnostic and also therapeutic purposes. In the past this led to new imaging techniques (visual representations) which use the information of at least two modalities in order to maximize the benefit for the clinician in diagnosis and treatment. The registration of MR and US is of special interest because sonography is a diagnostic technique which is easy to handle, widely available, and furthermore economic. To combine the best of the two worlds we will show that it is possible to match 3D MR and US for the assessment of female pelvic floor morphology.

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An Introduction to Female Menopause and Vaginal Atrophy Memphis TN

During menopause, the levels of estrogen in the female body are dramatically reduced. This generally leads to many, often painful, changes in the body. During this time, it is common for atrophic conditions to occur in both the female genital and lower urinary tracts.

Are You at Risk for Osteoporosis? Memphis TN

Through medical evaluations and bone mineral density testing (dual energy x-ray absorptiometry – DEXA), our skilled physicians and staff can help determine your risk for developing osteoporosis. The DEXA is a painless, non-invasive procedure similar to a x-ray: a moveable arm is passed over the area to be tested, such as your hip, spine or forearm. The test is completed in a matter of minutes and radiation exposure is minimal. Your medical history is taken before the test. The physician will use your history with the results of the DEXA test to provide an easy to understand, individualized bone health report.

Assessment of Soy Phytoestrogens' Effects on Bone Turnover Indicators Memphis TN

Osteoporosis is a very common disease of bone, and fragility fractures (i.e. fractures in the absence of relevant trauma) are its typical complication and the most common presenting sign. For many years, the diagnosis of osteoporosis was made only after the sudden occurrence of a fragility fracture. The most frequent sites of bone fragility fractures are wrist, vertebrae, hip, ribs and humerus. While hip fractures have always been considered a cause of severe disability and loss of independence, there is now increasing awareness that all fractures substantially affect the patient's quality of life.

Bayes Theorem to Estimate Sequential Condtional Risks Memphis TN

Most standard textbooks show that the posterior odds = prior odds X likelihood ratio but some publications show the use of prior risk X likelihood ratio to calculate the posterior risk. Bayes theorem does refer to probabilities, which is equivalent to the word "risk". The confusion seems to arise for this reason and the fact that for low risks the results are very similar. Some authors use risk loosely as a generic term which might include odds.

Bual Operation as a Conservative Treatment of Refractory Menorrhagia Memphis TN

For a while there was an optimism that ablation of endometrium (EA) could reduce the hysterectomy rate dramatically, but enthusiasm waned when it appeared that the procedure was not without complications as bleeding disorders returned in over one third of cases often necessitating hysterectomy.

Changes in our 40s, 50s Memphis TN

Body fat proportions continues to change. The ratio ofbody fat to muscle increases, as muscle mass decreases. Due to the aging factor, weight is being added to our thighsand buttocks. Some may notice dimpling in these areas...No, it is not your imagination, IT IS EASIER TO GAINWEIGHT NOW, than it was when we were in our 30's

Coffee Talk: Menopause Memphis TN

Menopause is the point in a woman's life when there is permanent cessation of menstrual periods. This is a natural event that occurs following the loss of ovarian activity. Read on for more information on menopause.

DHEA - A Miracle Drug or A Fraud? Memphis TN

DHEA and DHEAS are weak male directed hormones secreted by the adrenal gland. In high doses, they can be converted by the liver into male directed hormones such as testosterone. The blood levels of this hormone peaks around age 25 and gradually declines to virtually zero by ago 70.

Doctor, Just What is a Hot Flash? Memphis TN

Hot flashes are described as a feeling or wave of heat that often seems to engulf the upper torso and head. It is a feeling of intense warmth that may spread like a wave over the upper body, and typically lasts from 30 seconds to 3 or 4 minutes.

Hormone Replacement Therapy and Mammogram Accuracy Memphis TN

Hormone replacement therapy—often referred to as HRT—is used to replace hormones not being produced after menopause. It can significantly reduce a woman’s risk of osteoporosis and heart disease. While developing breast cancer is a top concern among many women, more than 10 times as many women actually die from cardiovascular disease.

Hormone Replacement Therapy May Prevent Fractures in Postmenopausal Women without Adverse Side Effects Memphis TN

Researchers at the Rush Center for Clinical Studies at Rush-Presbyterian-St. Luke's Medical Center in Chicago will investigate whether the hormone replacement therapy tibolone prevents spinal fractures in osteoporotic postmenopausal women.

Hot Flash Treatments Memphis TN

As for treatment of the hot flashes, there are numerous approaches to resolving or working with them. Replacementof estrogen is generally recognized as the most effective way to stop them, a treatment that certainly makes senseas hot flashes seem to be caused by a drop in a woman's estrogen.

Hypertensive Crisis Associated with High Dose Soy Isoflavone Supplementation in a Post-menopausal Woman Memphis TN

The participant was part of a placebo-controlled crossover trial to investigate the potential synergism of the antioxidant activity of soy isoflavones and vitamin C. Upon entry into the study, this healthy, well-nourished, normotensive postmenopausal woman (51 years old), consumed the first of four randomly assigned treatments (500 mg vitamin C plus 5 mg/kg body weight soy isoflavones). During this treatment, the participant's systolic blood pressure spiked to a recorded 226/117 mmHg, necessitating medical intervention and discontinuation of study participation. Two plausible mechanisms for this hypertensive crisis are discussed.

Kegel Exercises Memphis TN

I am always amazed that with careful coaching and instruction, a patient may begin the attempts and not be able to contract any muscle to any significant degree, but by digitally helping her identify this muscle group or that she most often make the proper neuromuscular connection very quickly.

Male Menopause and Perimenopause Memphis TN

The symptoms of male menopause are not as overwhelming as the wholesale changes women experience, and male menopause does not affect all men. Approximately 40% of men in Memphis in their 40s, 50s and 60s will experience some degree of lethargy, depression, increased irritability, mood swings, and difficulty in attaining and sustaining erections that characterize male menopause.

Managing Menopause, without the Use of Drugs Memphis TN

Due to the barrage of requests on how to minimize the effects of menopause without drugs,I thought I would use this column to address this issue. Remember, these strategies will help minimizeshort term effects of decreased estrogen, they will not provide protection against bone loss or cardiovasculardisease. If you are at risk for osteoporosis or cardiovascular disease, talk to your health care provider, as estrogenreplacement is the best known therapy.

Melatonin Effects on Luteinizing Hormone in Postmenopausal Women Memphis TN

In many mammals, the duration of the nocturnal melatonin elevation regulates seasonal changes in reproductive hormones such as luteinizing hormone (LH). Melatonin's effects on human reproductive endocrinology are uncertain. It is thought that the same hypothalamic pulse generator may both trigger the pulsatile release of GnRH and LH and also cause hot flashes.

Menopausal Hormone Therapy and Other Breast Cancer Risk Factors in Relation to the Risk Memphis TN

Menopausal hormone therapy was associated with increased risks for breast cancer of both ductal and lobular subtype, and medium potency estrogen-progestin therapy was more strongly associated with lobular compared with ductal cancer. We also found medium potency estrogen-progestin therapy and alcohol to be strongly associated with tubular cancer.

Menopause and Genes Memphis TN

As the age of menopause is a retrospective marker for a woman's reproductive capacity in the years beforehand, the research team believes that finding that heritability plays such a major role in determining the menopause has important implications for women when childbirth is being delayed well beyond the age of 30. It was this social phenomenon that prompted them to undertake the project.

Metabolic Syndrome and Cardiovascular Risk Factors in the Menopausal Transition Memphis TN

Alterations of the hormonal profile begin in the early 40s, before the complete cessation of menses, consequently changes in risk factors for cardiovascular disease (CVD) such as lipids and anthropometric characteristics could also be observed in this period. It has been necessary to investigate the behavior of these factors during the transition to menopause and still it is not clear when metabolic alterations occur.

Non-rigid Registration of a 3D Ultrasound and a MR Image Data Set of the Female Pelvic Floor Memphis TN

It is a clinical necessity to enhance the information contained in imaging for diagnostic and also therapeutic purposes. In the past this led to new imaging techniques (visual representations) which use the information of at least two modalities in order to maximize the benefit for the clinician in diagnosis and treatment. The registration of MR and US is of special interest because sonography is a diagnostic technique which is easy to handle, widely available, and furthermore economic. To combine the best of the two worlds we will show that it is possible to match 3D MR and US for the assessment of female pelvic floor morphology.

Perimenopausal and Menopausal Bleeding Memphis TN

Regular periods are the result of a precise hormone balance causing regular ovulation. In perimenopause changes in hormone levels interfere with ovulation.

If ovulation does not occur, the ovary will continue making estrogen, causing the endometrium to keep thickening. This often leads to a late menstrual period followed by irregular bleeding and spotting. This can also result in endometrial polyps, a greater thickening called "hyperplasia," or in extreme long-standing cases, cancer of the lining of the uterus. How do I know if my bleeding is abnormal It is not unusual to have irregular bleeding for up to 6 months before menstrual periods stop completely.

Perimenopause Panic Disorder Diagnosis Memphis TN

Perimenopause is a time of hormonal fluctuations where some perimenopausal women will experience psychological symptoms during this transition. Perimenopause may be connected with a new onset of psychiatric symptoms or exacerbation of pre-existing psychiatric problems in women.

Post Menopausal Bleeding Memphis TN

In women who are experiencing post-menopausal bleeding (PMB) and who are NOT on supplemental hormones, the causes are many. For some the total lack of any estrogen can result in the spontaneous breaking down of small blood vessels in the uterine lining (endometrial atrophy), similar to a person developing a small spontaneous nose-bleed without any nasal trauma. Overgrowths of the lining of the uterus may develop that are called "hyperplasias", and some of these are potentially pre-cancerous. Benign uterine growths such as polyps or fibroids may also cause irregular postmenopausal bleeding. Vaginal bleeding can also occur from abnormalities on the cervix or in the vagina itself. Rarely, a problem is due to an abnormality of the fallopian tube or ovary.

Publications Ask Dr. Ackerman, USA Memphis TN

Your physician must determine whether a patient's sexualcomplaints are organic (caused by something physical), or psychological. For example, there are many changes ina woman's body that occur during the ages of 45-70. Among these changes is the problem of vaginal dryness and thinning,which obviously has a tremendous impact on sexual function.

Rekindling Romance at Mid-Life Memphis TN

After marriage, your romantic life remained vibrant as you planned quiet dinner alone, and weekends away.Life was wonderful.. Children came and again you planned your sexual life. You communicated when the kids wouldvisit grandma, and knew that was your time, for romance.

The Interview: Three Questions to the Editorials Author Memphis TN

Although the action of progesterone (P4) on uterine myoma growth is not simple, the net effect of P4 on uterine myoma growth is in favor of the increase in the proliferative activity for leiomyoma cells. Read on to learn more information in the following article.

The Significance of Bleeding After the Menopause Memphis TN

Bleeding after the menopause or "post-menopausal bleeding"("PMB") can be defined as the resumption of vaginal bleeding at least 6 months after a woman experiencesher last menstrual period. Read on for more information on post-menopause bleeding problem.

Tibolone revisited: Still a Good Treatment Option for Healthy, Early Postmenopausal Women Memphis TN

Tibolone is a valuable treatment option for healthy early postmenopausal women suffering from climacteric complaints and might be preferable to common combined HT products for women with an intact uterus. In older women, above 65 years, tibolone doubles the relative risk of stroke, while in breast cancer patients suffering from vasomotor symptoms probably risk of recurrence will be increased. In these patient groups tibolone could be best avoided. However, finally each decision in medical practice should be patient-tailored, taken after proper counselling by the patient and the doctor together, based on individual knowledge and personal experience.

Uses of Estrogen Memphis TN

There are many ways to take estrogens and many philosophies of management. The views expressed on this pagerepresent the opinion of the author and may or may not conform to the current "standard of care" prevalentin the United States today. These opinions are not meant to constitute medical advice-- merely one person's philosophy.The ultima...

What are "Designer Estrogens"? Memphis TN

Tamoxifen and Evista (raloxifene), have some of these properties. Tamoxifen is the first SERM used by mainly breast cancer patients and has been shown to block the return of breast cancer in the other breast by 40 percent. The risk associated with Tamoxifen is that it may increase risk of developing blood clots and uterine cancer. Tamoxifen in postmenopausal women acts as an estrogen on bones and increases bone density, increases bone mass 1-3% per year. Neither Tamoxifen or Evista are as effective as Estrogen Replacement Therapy for increasing bone mass, or relieving hot flashes.

Women Seek Help for Menopausal Symptoms Earlier in Life Memphis TN

Women are more likely to inquire about their menopausal symptoms because they want to plan for the life changes it will bring, Dr. Stuenkel said. “They want to feel they have the advantage of anticipating this transition, and they want to be like they are in other phases of their life, one step ahead of the game,” she said.