A Women's Health Doctor's Guide to Preventing Osteoporosis
Osteoporosis affects 1 in 3 women and is often termed a "silent disease" due to its lack of symptoms until a fracture occurs. This condition, characterised by weakened bones, becomes more prevalent around menopause when estrogen levels decline, impacting bone density. Preventive measures include regular weight-bearing and resistance exercises, adequate intake of calcium and vitamin D, hormone replacement therapy (HRT) for eligible women, and maintaining good posture to reduce fall risk. Early intervention and lifestyle modifications play a crucial role in preserving bone health and preventing fractures.
Nurturing You: An Integrative Approach to Perinatal Mental Health
As an integrative physician, I believe in treating the whole person—mind, body, and spirit—especially during the transformative journey of pregnancy and motherhood. Today, I want to shed light on a topic that is incredibly important, yet often overlooked: perinatal mental health.
Contraception Choices During Perimenopause
Navigating contraception during perimenopause can be complex, as fertility can persist even with irregular periods. It's essential to continue using reliable contraception until you've been without a period for 12 consecutive months, marking the onset of menopause. Options like hormonal contraceptives—such as combined oral contraceptives, the mini-pill, or hormonal intrauterine devices (IUDs)—not only prevent pregnancy but can also alleviate perimenopausal symptoms like hot flashes and menstrual irregularities. However, considerations regarding age, health history, and potential risks are crucial. Consulting with a healthcare provider ensures the chosen method aligns with your individual health needs and lifestyle.
Supplements for PCOS: Exploring Alternative Approaches
The primary medical treatments for PCOS typically involve metformin for metabolic issues and anti-androgens for hormonal imbalances. However, many women prefer incorporating supplements into their management of PCOS, either because they are more tolerable or align with a more integrative approach to health. While inositol is the only supplement recommended by international guidelines, this blog will explore other supplements that have shown potential in managing PCOS symptoms.
Group B Streptococcus in pregnancy
Group B Streptococcus can colonisation the vagina or rectum in up to a quarter of pregnant women and in a small proportion of these it will cause infection in the baby. Only a small number of women can be tested on the NHS but at Sirona Health you can decide to test privately and have a detailed discussion about how to manage the result.
Periods during the perimenopause … what can happen?
Perimenopause involves complex hormonal fluctuations that impact menstrual cycles. Initially, shorter cycles and heavier periods may occur due to higher FSH and oestrogen levels. As follicle numbers decline further, cycles become more irregular, with missed periods becoming more common.
Progesterone for perimenopausal symptoms
Progesterone plays a crucial role in managing perimenopausal symptoms by balancing estrogen levels and supporting overall hormonal harmony. It helps regulate menstrual cycles, alleviate mood swings, and reduce the risk of endometrial hyperplasia. Incorporating natural progesterone, such as micronized progesterone, can be an effective strategy for women seeking to manage perimenopausal symptoms without synthetic hormones. Consulting with a healthcare provider is essential to determine the most appropriate treatment plan tailored to individual needs.
Endocrine ‘disruptors’ - xenoestrogens
Xenoestrogens are synthetic chemicals that mimic estrogen in the body, potentially disrupting hormonal balance. Common sources include plastics (e.g., BPA), pesticides (e.g., DDT), and personal care products containing parabens. Exposure to these substances has been linked to various health issues, including hormone-related cancers and reproductive health problems. To minimise exposure, consider reducing plastic use, choosing organic foods, and selecting personal care products with natural ingredients. Being mindful of these factors can help protect your health from the potential effects of xenoestrogens.
Bleeding on HRT - information for women who still have a womb
Experiencing vaginal bleeding while on hormone replacement therapy (HRT) is common, especially for women who still have a uterus. The type and timing of bleeding can vary depending on the HRT regimen—continuous or sequential. While light, short-duration bleeding is often considered normal, especially with sequential HRT, unscheduled or prolonged bleeding may indicate underlying issues such as endometrial hyperplasia or cancer. It's crucial to monitor bleeding patterns and consult with a healthcare provider if irregularities occur. Early detection and appropriate adjustments to HRT can help manage symptoms and reduce risks.
Iodine deficiency
Iodine is an essential mineral which is especially important for women considering pregnancy, during pregnancy and during breastfeeding
Long term safety of HRT
Hormone Replacement Therapy (HRT) remains a cornerstone in managing menopausal symptoms, offering relief from hot flushes, night sweats, and mood changes. While HRT is generally safe for women under 60, especially when initiated close to menopause onset, long-term use carries certain risks. These include a slightly increased risk of breast and ovarian cancers, as well as potential cardiovascular concerns if started many years post-menopause. However, for many women, the benefits—such as reduced risk of osteoporosis and improved quality of life—outweigh the risks. It's crucial to have a personalised discussion with a healthcare provider to weigh the pros and cons based on individual health profiles.
