Generations of American women have relied on the gnarled root of black cohosh (Cimicifuga racemosa) to relieve various “female problems,” from PMS and menstrual cramps to menopausal symptoms. In the 1900s, this indigenous American wildflower, a member of the buttercup family, provided the main ingredient in a popular tonic for women. (The concoction–Lydia Pinkham’s Vegetable Compound–is still sold, but it no longer contains the herb.) Black cohosh has also been used to treat a variety of other complaints, including insect bites and eczema.
Category: Women’s Health
Women’s health medicine can include treatment specific to women’s health concerns to optimization and anti-aging.
Yeast Infections (Vaginal)
I really doubt if the women in our grandmother’s time, or before, experienced the same trouble with yeast infections that we do. Truly, we’ve set the stage for yeast to flourish in our vaginas in ways unknown to earlier generations. We overuse broad-spectrum antibiotics, each of us eats 120 pounds of sugar every year (!), we’re on birth control pills, and we all face too many day-in and day-out stresses. The end result? By the time we’re in menopause, 75% of us will have had one or more yeast infections. These are typically episodes in which a yeast known as candida albicans–normally a harmless fellow-traveler in our vaginas–takes over. And the tell-tale symptoms of itching, burning, and a cottage cheese-like discharge make life really unpleasant for a few days.
PMS
After having heard the details of PMS (otherwise known as premenstrual syndrome) from hundreds of women over the years, I continue to be surprised about how most regard PMS as their lot in life and don’t seek any help for it. I guess most women believe there’s nothing they can do, and consequently they’re often amazed to learn that an integrated approach can really help. I am of the opinion, shared by many of my colleagues at WholeHealth Chicago, that getting PMS out of your life requires a strongly committed proactive “self-care” stance, something you can easily do without much reliance on your conventional physician. Generally the complexity of PMS–and there are numerous symptoms associated with it–takes a lot more time and attention than the standard 7-minute physician office visit can provide.
Perimenopause
As you’re probably aware, menopause is that phase of a woman’s life when her ovaries no longer produce the sex hormones estrogen and progesterone. Well before then, however, a woman’s hormones begin to fluctuate from month to month, often causing many unpleasant symptoms. This process may take from five to 10 years. This is perimenopause. During this time, even though periods are still occurring, symptoms associated with menopause, including hot flashes, mood swings, brain fog, and sleep disturbances begin. Yet with periods persisting, most doctors are reluctant to start prescription hormones that would stop these symptoms in days. Furthermore, since her hormonal status fluctuates, she may not need prescription hormones every month. So what’s a person to do?
Menopause
Strictly speaking, menopause is your final menstrual period, but most doctors agree you need 12 straight months without a period before you can call that last period “final.” Gone along with your periods, however, are your “factory-installed” female hormones. These protect you against a host of conditions–heart disease and osteoporosis most prominently–and lack of them can lead to a variety of symptoms, known collectively by your mothers as “the change.” These may include hot flashes, night sweats, mood swings, sleep disturbances, vaginal dryness, weight changes and poor concentration.
Infertility, Female
Infertility issues, which seemed so rare 20 years ago, are quite common these days. The most significant factor seems to be the desire couples have to start their families when they’re a little older, after they’ve established themselves in their careers. Clearly this affects a woman’s chances of reproducing, since fertility in women declines after age 35. And conception after age 45 is rather rare. Aside from trying to reproduce earlier in her life, there are some surprisingly simple steps a woman can take to increase her likelihood of becoming pregnant. It amazes me (although perhaps it should not) how little emphasis is placed on lifestyle issues and good nutrition by either gynecologists or infertility specialists. In all parts of the world, “wise women” have been using herbs for centuries to help their infertile daughters.
Fibrocystic Breast Changes
By the time they’ve reached their mid-forties or so, almost half of all women develop some degree of a condition called fibrocystic breast syndrome (FBS) in which their breast tissue becomes either more dense (“fibrous”) or it contains fluid-filled cysts, which can be tender or “lumpy.” In addition, because these cysts are under hormonal control, they often change size during a woman’s cycle and become exquisitely tender and painful during the week or so before her menstrual flow begins.
Endometriosis
Although theories abound, just why some women develop endometriosis and others don’t remains a mystery. Or why endometrosis produces painful or heavy periods in some and no symptoms in others. Or why some women with endometriosis are infertile and others are not. What doctors do agree on is what endometriosis is. Pieces of the lining of the uterus called the endometrium find their way outside the uterus and into the pelvis, where they implant themselves and grow.
Bioidentical Hormones
If you’re miserable from menopause symptoms, give serious thought to hormone replacement therapy (HRT). You may not realize it, but a diabetic using insulin is using hormone replacement therapy, with the hormone is insulin. Taking Synthroid for an underactive thyroid is hormone replacement, too. Is there a problem with replacing your sex hormones, estrogen and progesterone, when you’re suffering because their levels have gone into the free-fall of menopause?
Breast Thermogram
Click here for the Health Tip link. We’ve had so many inquiries from women about breast thermograms during the past year that we decided to do some homework before offering it to our patients. The test’s complete name is “digital infrared thermal imaging,” or DITI. For the test, your breasts are photographed with an infrared […]
Oprah: Poster Child for My Book, The Triple Whammy Cure
Click here for the Health Tip link. It comes with being a doctor, I suppose. I just can’t keep myself from reading about illnesses of the rich and famous. So when I saw Oprah’s name linked with the words “depressed,” “overweight,” and “thyroid,” I had to explore further. You can read about her major health […]
PMS Rx
Click here for the original post. For our new January newsletter readers, let’s review my PMS prescription, explained in far greater detail in The Triple Whammy Cure. When you feel crummy, you’re menstruating, AND your symptoms appear predictably on a monthly (or every-other-month) basis, the problem is definitely hormonal and definitely fixable. Premenstrual syndrome (PMS) […]
Cure PMS The Natural Way…Without Seeing a Doctor
I can’t imagine what PMS actually feels like, but having heard the litany of miserable symptoms from thousands of my patients, it sounds pretty dismal. But just because I happen to be a male physician doesn’t mean I can’t offer help.
Menopause Transition Rx
Okay, you’ve faced the fact. You’re entering the potential minefield of the euphemistically named menopause transition and you know your hormones are definitely out of whack.
Q&A: Herbs Control PMS Palpitations
Q: In a health tip on hormones, you wrote that virtually any cyclical symptom is probably caused by hormone fluctuations. You described a patient who got such severe heart palpitations that her cardiologist considered heart surgery before one herb managed to get her hormones under control. Could you tell me which herb was used and how it worked?
Drug-Free Hormone Balancing
You yourself can balance your sex hormones–estrogen, progesterone, and testosterone–by making some key lifestyle choices.
Taking these steps will also help you look and feel spectacular (exercise, good foods, and supplements really do work):
Measuring Hormone Levels
First let’s discuss a strategy to get your health insurance to pay for as much of this testing as your policy allows. Good hormone testing is pricey.
(Those $30 kits that test all your hormones are only moderately accurate, especially when it comes to estrogen and progesterone. If you’re having periods, levels of these hormones change virtually every day, and trying to get an accurate picture with a single day’s result is a waste of your money.)
Symptoms of Hormone Imbalance
There are two ways to find out if your symptoms are being caused by an imbalance in your sex hormones (estrogen, progesterone, and testosterone).
“My hormones are out of whack!”
That’s the single most common sentence I hear from my patients.
It can come from a 25-year-old with irregular periods and industrial-strength PMS whose energy has gone down the tubes. Or from a 45-year-old (on the threshold of pre-menopause) who continues to gain weight even though she’s eating less and exercising more, and who adds that her brain feels like mush and her sex drive is a distant memory.
Pre-Menopause Anxiety
One of the most common symptoms my patients tell me about during their pre-menopause years is a pervasive sense of mild depression and anxiety. No particular reason for it, they report, just a sense that things aren’t going right, wanting to cry for no reason over little things that never bothered them.