Description
Perimenopause and Menopausal Suport
Of women who complain of menopausal symptoms to their PCP or Gyne, only 10% are receiving a proper education on the importance of early menopausal hormone support.
Prevention of cognitive decline, Alzheimer’s disease, bone loss, muscle loss, cardiovascular disease, diabetes and more can be safely achieved by supporting hormonal loss
for the 10 years following the onset of menopause. Working closely with your physician to monitor risk factors, track blood levels, and observe clinical presentation, bio-identical transdermal
hormone therapies can be used to regain skin health, reduce brain fog, decrease systemic inflammation, and prevent disease.
Functional Medicine engages the intersection of your diet and lifestyle to promote optimal health outcomes at the cellular or root level. In Functional Medicine we often consider an unbalanced sex hormone like Estrogen to be an “Appropriate Response” to something in the body that is unbalanced elsewhere. A good example would be how high stress levels impact Progesterone / Estrogen balances in many women. Enter the world of PMS where lower progesterone levels can yield an estrogen dominant effect causing bloating, irritability, mood swings, headaches, cravings of unhealthy foods and more, Often, to correct unbalanced Estrogen levels Functional Medicine Doctors would address the root cause by starting with the Liver and Intestinal metabolism of Estrogen or balancing the stress centers and attempt to rebalance Progesterone/Estrogen ratios from there, It would be uncommon to think about using Estrogen, especially Estradiol (E2) in actively menstruating women.
In the consideration of menopause, Functional Medicine would start to view the integrating the use of Estradiol (E2) hormone as more of a fundamental or root cause approach. The speed of decline in the hormone cascade is unique to the individual and can be quite severe in certain women. Using bio identical hormones in phase 1 of care is often very supportive of recovering health more directly while still supporting other pathways. Imperative to be used in conjunction with Bio-identical Progesterone, Estrogen / Estradiol has the ability to decrease the risk of Bone Loss, Cognitive decline, Cardiovascular Disease, Frequent urinary tract infections, musculoskeletal pain syndromes, mood dysregulation and Diabetes.
When using Bio-Identical hormones it is imperative to work with a functional doctor who will not only evaluate you clinically, but also track blood levels and symptoms to manage any risk factors that you may have. Practicing Functional Medicine in Pittsburgh PA for over 27 years, where sunshine can be elusive, the potentials for bone loss are exacerbated by menopause significantly. There are many tools including Estradiol available to manage and prevent the progression of disease on multiple levels and Bio-identical Estradiol is one of the strongest ones we have in our tool kit.
Dr. Conan Shaw




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