Product Description

NATURAL MENOPAUSE centers on the belief that menopause is a natural process not requiring medication. Thanks to the growing availability of natural and holistic therapy alternatives, more perimenopausal women are alleviating symptoms of menopause with ingredients found in nature. This updated edition offers an extensive list of herbal remedies that address hot flashes and night sweats, depression, fibroids, osteoporosis, sexuality changes, HRT, and more.

Product Details

• Amazon Sales Rank: #69144 in Books
• Published on: 2009-07-21
• Released on: 2009-07-21
• Original language: English
• Number of items: 1
• Binding: Paperback
• 208 pages

Features

• ISBN13: 9781580911962
• Condition: NEW
• Notes: Brand New from Publisher. No Remainder Mark.
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From the Publisher
* An on-trend revision focusing on herbs, nutrition, and other natural approaches that offers a holistic plan for wellness during menopause.
* More than 40 million women in the United States are currently going through menopause or are post-menopausal.
* Updates include new research and findings on Black Cohosh, HRT, and cancer risk.

About the Author
AMANDA McQUADE CRAWFORD earned her degree in Phytotherapy (Herbal Medicine) from Britain's College of Phytotherapy. She was a founding member of the American Herbalists Guild and has taught at hospitals and medical schools across the United States. She is a consultant medical herbalist in Los Angeles, California.

Excerpt. © Reprinted by permission. All rights reserved.
CHAPTER 1: PERIMENOPAUSE

Menopause occurs when the ovaries stop releasing eggs and menstruation ceases. The period of a woman’s life called premenopause can begin eight to ten years before complete menopause; it occurs when the normal monthly cycle of ovulation and menstruation becomes less regular. This entire period of transition is also known as the climacteric because the reproductive phase of life is reaching its climax. The formal term is perimenopause–literally, the time surrounding menopausal changes.

The changes that accompany menopause are no less dramatic than those we experienced at puberty. Our bodies change, and with this comes new, strange feelings. The first part of this chapter discusses what is happening in the body at the cellular level. So that you can adapt to your own particular changes, the second part of the chapter provides practical, effective guidance that you can apply during the perimenopausal period and throughout this new stage of life.


The Reproductive Process and Perimenopause

Our reproductive systems undergo natural, predictable changes from puberty to menopause. Each month, throughout the years between puberty and menopause, a woman’s ovaries normally produce one egg, and the lining of the uterus thickens to prepare for a developing fetus should conception occur. If conception does not occur, this uterine lining (the endometrium) is discarded and released as menstrual blood.

Our endocrine systems produce hormones that circulate in our bodies and stimulate different functional activities at the cellular level. Estrogen, the hormone produced by the theca cells in the ovarian follicle, is key to the functions and changes in a woman’s reproductive system. Women enter puberty when the body begins to produce significant levels of estrogen, and enter menopause when estrogen production declines.

When we are still having menstrual cycles, we are low in estrogen just before menstruation begins, especially on the first day. This is true whether you are twenty-two or forty-two. The brain senses low levels of estrogen circulating in the blood and sends a message to the pituitary gland in the brain to release follicle-stimulating hormone (FSH) into the bloodstream. FSH reaches the ovaries and stimulates development of an egg within its surrounding cavity (follicle). As the egg develops, the follicle makes estrogen, so levels in the bloodstream start to rise. This signals the brain that it can stop firing off such a strong message to the pituitary.

Meanwhile, back in the ovary, the developing egg keeps maturing while several others die off. The FSH decreases as the egg’s secretion of estrogen signals the brain not to send so much FSH, but the FSH that is still being sent to the ovaries keeps the one egg growing, which ensures that the level of estrogen keeps rising for a time. The egg creates enough estrogen by about day fourteen to trigger a release of leuteinizing hormone (LH) from the pituitary. LH causes more blood to circulate into the ovaries, bringing about two important changes. First, more cholesterol (a normal sterol found in the blood) is broken down in the ovaries and eventually changed into even more estrogen. A sterol is any one of a large group of plant or animal compounds related to both fats and alcohol. Second, enzymes help liberate the fully mature egg from its follicle for ovulation. The empty follicle now folds in on itself to form a soft lump, called the corpus luteum (yellow body)–it is yellow because of its fatty sterols, which are now made into a different female sex hormone: progesterone, the pro-gestation hormone that acts to prepare the uterus for implantation of the egg, to maintain pregnancy, and to promote milk production in the breasts. If there is no fertilization of the egg, the corpus luteum learns this through the chemistry of the blood. In turn, the corpus luteum stops making progesterone.

In perimenopause, there are fewer viable eggs than in past years and the ovaries become less responsive to FSH and LH. The hypothalamus in the brain sharply increases production of FSH and LH levels to stimulate the ovaries to produce estrogen. Some cycles never have enough estrogen built up for ovulation, although menstrual flow may still occur. Our bodies begin to need much less estrogen than was required for menstruation, conception, pregnancy, and lactation. But we do not completely lose all estrogen in menopause. If there is a healthy cushion of body fat, this provides raw material for estrogen production, and the adrenal glands also make a little. A lower level of estrogen may even have important advantages. As cycles become more irregular, estrogen-dependent symptoms such as painful cramps, tender breasts, menstrual migraines, and heavy bleeding from fibroids tend to improve. On the other hand, symptoms of low estrogen may potentially create new problems–at least until our bodies reach a new balance. Because estrogen is only one of many hormones whose levels are changing during this time, herbs that promote progesterone have also helped Òlow estrogenÓ symptoms of menopause, presumably by supporting our bodies in reaching that new balance.


The Onset of Perimenopause

Perimenopause is usually a gradual process, so women may not know exactly when it begins. If you are reasonably healthy and are older than thirty-six, a change from a fairly regular cycle to an irregular one may be an early sign of perimenopause.

Perimenopause commonly begins in the fifth decade of life but may start as early as the thirties or even the twenties. Menopause beginning in the twenties is not really menopause–it is premature ovarian failure. High-stress lifestyles, heightened economic and social worries, global pollution, a rise in gynecological surgeries, and other twenty-first-century factors may contribute to early onset of perimenopause, even among healthy women. It was thought until fairly recently that the earlier your first period (an event called the menarche) occurred, the earlier menopause was likely to occur. Now researchers are not certain.

Yet even if the experience of other women in your family turns out not to be an exact predictor of your age at menopause, talking with our elders about their histories can be invaluable. Our reproductive experiences are often similar. Listening to stories from mother, sisters, cousins, and aunts can encourage intimacy and a wealth of detail. Other factors to consider are personal health history, nutrition, ethnicity, climate, economic status, and social setting, all of which influence one another. For example, women who smoke or make a habit of eating fast food are more likely to have some degree of nutrient imbalance when menopause arrives, and therefore to have more severe symptoms such as hot flashes, depression, and dry skin. A history of health problems is associated with an earlier menopause. Health factors other than perimenopause can also make the menstrual cycle erratic–for example, traveling, illness, malnourishment, or rigorous athletic training. In this case, women may have unpredictable menstrual cycles, or more symptoms such as mood changes or hot flashes.


A New Stage of Life

For many women, perimenopause is a time of emotional ups and downs. Entering a new stage of life as well as coping with changing hormonal levels naturally make this a time for reevaluating life goals–assessing past accomplishments and defining or redefining the future.

You may wonder why, when you have been perfectly content with your beliefs up until now, you are suddenly questioning everything about your purpose in life and the way you have chosen to conduct it. And you may feel quite alone in your observations: You may feel you are the only one to notice that the weather is all wrong, that your favorite dish doesn’t taste quite right. You catch your loved ones looking at you funny, which naturally makes you want to send them to summer camp, though they are far too old for that now. Meanwhile, you are worrying about aging, and on top of that, you have other challenges to face: family difficulties that tax your resources, career and financial choices to be assessed. When Tuesday’s ÒI’m proud I did the best I couldÓ clashes with Friday’s ÒI’ve been on the planet for almost half a century and what have I got to show for it?Ó–stop and take a deep breath. These and myriad variations on having the emotional rug pulled out from under you are not necessarily signs of disease. Your mood swings could well be the opening stanza of perimenopause.

There is no healthy way to suppress strong emotions during this period. The best you can do is take a mental health break, even for five or ten minutes during a hectic schedule. Recognize your need for time to cool off, reflect, and get some space–and then find a way to do just that. By tuning in to what you are feeling, you will come to identify the known (and unknown) triggers that bring out these perhaps unwelcome feelings. Delve beneath the surface of your deeper unease. If you can take the time to muse on things until an insight rings true, you may even come to see the wisdom in this seeming madness. The process may be helped along with a relaxing cup of herb tea, a counseling session, or ten minutes locked in a bathroom stall breathing slowly and evenly. Perimenopause does not make women ÒcrazyÓ; it makes us look inside. If we don’t look inside, we will soon feel crazy. This is a time to deepen into your wisdom and begin to make the changes you have always wanted to make.

At any stage of perimenopause, the herbal self-care outlined in this chapter can help realign your essential, unchanging self with your emerging self. Less ideally, you can use megadoses of herbal supplements as natural drugs to ÒfixÓ a perimenopausal symptom, whether it is a mood change or an irregular...