Women are complicated and their hormonal web is no exception! The hormones governing women’s physical and mental function throughout their lives work together to maintain a balance. The key hormonal players in women, Estrogen, Progesterone, Testosterone/DHEA, Human Growth Hormone, Thyroid, & Cortisol, begin to play out of tune as their levels decrease with age.

So when hormones decline or become imbalanced, as in Peri Menopause & Menopause, we start to notice changes in our bones, muscle strength, the elasticity of our skin, and in our energy, mood, memory, & libido.

The majority of women think that Peri Menopause and Menopause cause inconvenient symptoms: mood swings, fatigue, hot flashes, & low libido among others. What they don’t know is that these hormonal imbalances raise our risk for serious diseases such as heart disease, Alzheimer’s, osteoporosis, obesity, depression, stroke, and cancers, especially breast cancer. Therefore, it is crucial that we prevent and treat the cause of these symptoms as soon as they start to appear in our late 30’s. Not only our well-being and quality of life depends on it, but our health and risk of disease is optimized by becoming hormonally balanced.

The “Women’s Health Initiative” (WHI 2002) was a major multi-national study that included thousands of women on synthetic estrogens (Premarin, Birth Control Pills, Nuvaring) and/or on synthetic progesterones (Provera, Progestins, Birth Control Pellets/Injections).

This study had to be stopped abruptly: unprecedented for any medical study around the world. The reason was that women in the study were getting a much higher incidence of heart disease, stroke, blood clots, and breast cancer than women in the general population.

At this point, OB/GYN’s around the country took women off their synthetic hormonal therapy (synthetic estrogens and progesterones) to prevent these problems, even though they knew women would have to live with bothersome symptoms and their risk for serious illness would be greatly increased.

Bio-Identical or Non-Synthetic hormonal therapy is the only option for women to treat Peri & Menopausal symptoms, decrease significantly the risk of age-related diseases, and increase well-being & quality of life. Most doctors are not familiar with the Bio-Identical hormonal therapy, but experts in Anti-aging Medicine specialize in this field.

Dr. Cabanellas, Board Certified in Anti-Aging Medicine, Ophthalmology, & Aesthetic Medicine, will switch you from harmful synthetic hormones that increase your risk of breast cancer & heart disease; but even more importantly, will balance ALL of your other hormones (Thyroid, Cortisol, Testosterone/DHEA, Pregnenolone, Melatonin, & Human Growth hormone) so you can achieve the quality of life you had at the peak of health in your 20’s. Bio-Identical hormones are the answer!

Women’s reproductive life is composed of 3 stages:

1. Pre Menopause --the PMS Years

2. Peri Menopause—the Rollercoaster Years

3. Menopause/Post Menopause—the End of Periods

Pre Menopause - The PMs Years

During their 20’s and 30’s, women experience fairly regular cycles with balanced estrogen and progesterone production. But increasingly, younger females who are prone to excess stress, crash diets, and contraceptive use are not ovulating regularly. Anovulatory cycles can lead to symptoms of hormonal imbalance, severe PMS, and more serious health issues, such as polycystic ovaries, endometriosis, and infertility.

Peri Menopause - The Rollercoaster Years

Most women don’t know that there is a period of time called Peri Menopause (of 10-15 years) when the body gets ready to start Menopause, therefore, they do not associate mood and emotional symptoms with their hormones or menopause. But they should! Beginning in the late 30’s until menopause (average age of 51), women begin to experience a whole new world of symptoms, as estrogen and progesterone levels fluctuate dozens of times a day from wavering ovarian function.

These symptoms range from classical menopause symptoms like hot flashes, night sweats, and mood swings to not so typical ones like high anxiety, foggy thinking, bone loss, weight gain, depression, fatigue, and low libido. These fluctuations in hormone levels take women on a rollercoaster ride! At this point, the search for symptom relief begins with Bio-Identical hormones.

Menopause/Post Menopause - The Ends of Periods

The official start of Menopause is 12 months in a row without a period, occurring around age 51. But it is not uncommon to see symptoms much sooner. Acute/prolonged stress, for example, can negatively impact ovarian function and can precipitate premature Menopause in vulnerable women as early as their mid to late 30’s. Menopause can also be surgically induced through hysterectomy, radiation, or chemotherapy. We think that hormones control only our sexual and reproductive systems, but hormones actually regulate the entire body. With less hormones to go around, their important role in protecting the health of the brain, bones, muscles, skin, breasts, and heart are diminished. Supplementation with Bio-Identical hormones is a matter of life or death at this stage.

Common hormone imbalances in Peri Menopause and Menopause:

The right balance of hormones is vital to a woman’s health & well being. During Peri Menopause & Menopause, hormone levels drop and hormone deficiencies take place. Logically, one would think that hormonal deficiencies should be resolved with hormonal supplementation. Unfortunately, there are so many hormones at work in a woman’s body that deficiencies in one hormone may trigger excesses of other hormones and this is how imbalances take place. (Remember, low levels of hormone are as harmful to your health as high levels).

The following are the most common hormone imbalances in women and their symptoms:

Estrogen Dominance Mood swings , migraines, fat gain, low thyroid, breast cancer risk
Low Estrogen & Progesterone Hot flashes, night sweats, palpitations, foggy thinking
High Testosterone & DHEA Acne, hair loss, irritability, belly fat, polycystic ovaries
Low Testosterone & DHEA Decreases bone/muscle mass, energy, libido (sexual desire)
High or Low Cortisol (Stressed Adrenals): insomnia, anxiety chronic fatigue, allergies, food cravings, low immunity

Do you have symptoms of hormonal imbalance?

Troublesome or persistent symptoms during Peri Menopause & Menopause are a sign of related imbalances that may be complicating the situation and raising disease risks of osteoporosis, heart disease, breast cancer, obesity, and Alzheimer’s.

Symptoms from one woman to another are as highly individual as a thumbprint!
If you answered yes to 3 or more symptoms in this questionnaire, you may be hormonally imbalanced:
Mood Swings Hot Flashes
Night Sweats Fatigue Headaches
Depression Nervous
Irritable Tearful
Memory Lapses Can’t Lose Weight
Decreased Libido Vaginal Dryness
Heavy Menses Bleeding Changes
Incontinence Fibrocystic Breasts
Polycystic Ovaries Tender Breasts
Uterine Fibroids Water Retention
Sleep Disturbances Weight Gain (waist &/or hips)
Heart Palpitations Stress
Cold Body Temperature Sugar or Salty Cravings
Increased Body /Facial Hair Scalp Hair Loss
Thinning Skin Aches & Pains
Fibromyalgia Oily Skin & Acne

How can I balance my hormones naturally?

Hormone balance and the knowledge that hormones work together with a healthy mind and body are the keys to optimal health and Peri & Menopausal relief.

» First, determine your symptoms
» Then, test ALL of your hormones to detect specific imbalances
» Find a board certified doctor in Anti-Aging Medicine (specializing in Bio-Identical hormonal therapy)
» NEVER use Estrogen alone (even after Hysterectomy)!
» ALWAYS use Bio-Identical hormones (the exact chemical structure as the hormones produced by the body and derived from a natural source)
» STOP all synthetic hormones—Premarin, Provera, Progestins, and birth control pills, pellets, injections, & intrauterine devices (They ALL contain synthetic hormones)
» Supplement with Nutriceuticals (pharmaceutical-grade nutritional supplements that are prescription strength, free of harmful contaminants, and actually absorbed by the body)—only way to have the available building blocks to regenerate the body’s tissues and to work properly
» Detoxify is key for Bio-Identical hormone treatment to work at its best
» Use “hormone-free” foods and products
» Maintain ideal weight (fat cells send signals in the body that cause hormonal imbalances. It is medically proven that overweight/obesity is a major risk factor for the major killers in the US: heart disease, stroke, and cancer. Also, breast cancer patients have a significant increase in fat mass compared to women without cancer)
» Boost hormones naturally with exercise—not a substitute for hormonal supplementation with Bio-Identical hormones; exercise makes hormonal therapy more work at its best, while becoming more stable
Minimize stress and use stress-handling techniques like yoga, meditation, prayer, etc.
» Stop smoking ASAP
» Eat more fiber
» Get deep, restful, uninterrupted 7-8 hours of sleep—this is the only way that body tissues regenerate after being used during the day

No claim or opinion on The Wellington Institute for Wellness and Aesthetic Medicine, LLC is intended to be, or should be construed to be, medical advice. Please consult with a healthcare professional before starting any therapeutic program.



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