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Womens Health: Hormone Balance and Stress PowerPoint Presentation

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Description : Check out this medical presentation on adrenal gland, which is titled "Women’s Health: Hormone Balance and Stress", to know about the effects of hormone balance/imbalance om womens health.

Tags : adrenal gland, Womens Health, Hormone Balance, Stress

Published on : May 05, 2021 | Views : 3128 | Downloads : 3

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Women’s Health: Hormone Balance and Stress Henri J Roca, MD Assistant Professor, Department of Family Medicine, University of Arkansas School of Medicine
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Estrogen and Progesterone During reproductive years, ovaries make high amounts Estrogen peaks at the beginning of cycle Progesterone peaks after ovulation Small amount of both made in Adrenal glands Some estrogen also made in fat cells
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Hot flashes, flushes, night sweats and/or cold flashes, clammy feeling Bouts of rapid heart beat Irritability, Mood swings, sudden tears Trouble sleeping through the night (with or without night sweats) Shorter, lighter periods; heavier periods, flooding; phantom periods, shorter cycles, longer cycles Loss of libido Crashing fatigue Anxiety, feeling ill at ease Feelings of dread, apprehension, doom Symptoms Associated with Menopause
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Reproductive Hormones and Dental Health J Midlife Health. 2014 Jul-Sep; 5(3): 115–120; Ann Med Health Sci Res. 2013 Jul-Sep; 3(3): 320–323. Estrogen receptors in oral mucosa similar to vaginal mucosa Natural menopause is defined as a spontaneous cessation of natural menstruation for 12 consecutive months at 45-55 years of age paucity of saliva, increased dental caries, dysesthesia, taste alterations, atrophic gingivitis, periodontitis and osteoporotic jaws unsuitable for conventional prosthetics or dental implants. calcified carotid atheromas.
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ORAL MANIFESTATIONS Effect on periodontium Periodontitis Oral candidiasis Localized osteitis Burning mouth Trigeminal nerve involvement Xerostomia and increase caries activity Delayed healing
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Progesterone and Pregnancy Increased in puberty, with OCP, during pregnancy Changes in blood flow – red gums, more reactivity to plaque Acid erosion morning sickness or esophageal reflux. Periodontal disease occurs in 50% to 100% of all pregnant women
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Peri-Menopause Time from when symptoms start, lasting to 1 year after last menstrual period Symptoms: Increased PMS Irregular periods, or changes in length and flow Hot flashes, night sweats LH and FSH will be elevated: trying to get the ovaries to make estrogen Ovaries respond with periodic bursts: Hot Flashes
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Hot Flashes 80% of American women will have at least 1 hot flash Surge of power, heat, or energy being released Some completely debilitated Thought to result from fluctuations in estrogen levels During peri-menopause, but can continue into menopause Exacerbated by low progesterone levels
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Peri-Menopause Progesterone levels decline due to lack of ovulation Increases in frequency through the 40’s Too much estrogen relative to progesterone Estrogen Dominance
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Estrogen Dominance Common symptoms Fibrocystic breasts Fibroid tumors of the uterus PMS symptoms Breast tenderness and water retention Mood changes Menstrual symptoms Menopause symptoms - especially hot flashes
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Menopause Decreased estrogen and progesterone levels Begins 1 year after last period Low Thyroid and/or low adrenals will make symptoms worse
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Burning Mouth Syndrome 43% peri and menopausal; 6% premenopausal
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Xerostomia Estrogen receptors in salivary glands Flow rate including stimulated flow rates are lower in postmenopausal women Salivary pH and electrolytes are unaffected Mandibular dysfunction, diffuse gingival atrophy or oral ulcerations, oral candidiasis, pernicious anemia
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Periodontal Health Estrogen receptors in periodontal osteoblasts and fibroblasts Decreased vascular flow in menopause Worse and more frequent periodontal disease
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Alveolar Bone Loss Strong association with osteoporosis
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Bruxism ENTER THE MATRIX
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Adrenal Glands 2 glands, located on top of each kidney Cortisol: main stress hormone Sex hormones also made here DHEA, Testosterone, Progesterone, Estrogen As we age, Ovaries make less E and P Adrenals pick up the slack Healthier the adrenals, easier the transition to menopause
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Acute Stress High Cortisol Initially DHEA can be elevated Eventually, DHEA, T and E decrease because all raw material is being diverted to make Cortisol High Cortisol is good in acute situations: Increased blood sugar for fuel Shunt blood to periphery to run Decrease inflammation to manage response to injury
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Chronic High Cortisol Raises blood sugar - insulin/diabetes Abdominal obesity - risk for metabolic syndrome Fluid retention and hypertension Breakdown of structural proteins - muscle (sarcopenia), bone and connective tissue, hair and nails Impairs immune system Chronic infectious diseases Lowers sex hormones
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Chronic Stress: Adrenal Fatigue Eventually, low Cortisol Saliva testing Low DHEA, Testosterone Less Estrogen and Progesterone Worsens symptoms of peri and menopause Symptoms: Fatigue Hair loss Joint pain and inflammation Allergies Auto-immune disorders
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Thyroid Gland Low functioning - hypothyroidism High TSH, low T4, T3 Nutritional causes- iodine, zinc, selenium, iron Auto-immune - Hashimotos Thryoiditis Symptoms Low body temperature, cold hands Sluggish metabolism, weight gain Fatigue Constipation Depression Low libido Menstrual disorders, severe menopausal symptoms Hair loss, dry skin
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Thyroid Hormones Thyroid gland makes T4 (4 iodine molecules) T4 delivers an iodine to all cells in your body and is activated to T3 T3 much more potent Many people have subclinical hypothyroidism from low T3, or problems with activation of T3, or removal of wrong iodine Dependent on progesterone and cortisol, among other nutrients (more later…)
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Stress Issues and Achieving All-Hormone Balance
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Stress and Thyroid Function Stress suppresses hypothalamus’ release of TRH, the pituitary’s release of TSH, and thyroid gland production of thyroid hormone Decreased TSH, T4, T3 Chronic stress: don’t convert T4 to T3 Inflammatory cytokines - block conversion Adrenal exhaustion - low cortisol Cortisol needed for T4 to T3 conversion Healthy Adrenals Key to Healthy Thyroid
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Stress and Estrogen/Progesterone High Cortisol causes worsening of Estrogen Dominance, low Progesterone
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Progesterone and Thyroid Progesterone helps convert T4 to the activated form of T3 Stress, adrenal fatigue and Peri-menopause/menopause all cause low progesterone Negatively effect the thyroid Can’t balance thyroid without balancing the other hormones
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Treatment approaches: Perimenopause Chastetreeberry (Vitex): balances estrogen and progesterone Compounded progesterone cream Hot flashes Not Effective: Wild yam cream Dong Quai root Evening Primrose Vitamin E Ginseng
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Treatment Approaches: Menopause Mind-Body Medicine: Studies show reduction of hot flashes with: Relaxation Self-suggestions of cool thoughts Temperature feedback Training in slow deep breathing Black cohosh (Remifemin 20 mg twice) Isoflavones from soy, kudzu Soy: Exact mechanism not known. Possibly by weak estrogenic activity: blocks harsher estrogens
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Treatment Approaches: Menopause Bio-identical Hormone Replacement Therapy: Bio-HRT Vaginal Dryness: Estradiol only Estrogen cream: Estrace: 2 grams per night X 2 weeks, then 1 gram, 1-2 X week. Sexual activity will increase mucus Avoid excess douching
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Treatment Approaches: Thyroid Iodine, Zinc, Selenium, Vit A Kombu Brazil nuts Thyroid hormone replacement Synthetic T4, T3 (Synthroid, Levoxyl, Thyrolar, Cytomel) Natural T4, T3 (Armour, Naturthroid)
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Treatment: Adrenal Fatigue Lifestyle factors Nutrition: Low sugar and not skipping meals Stress Management: physical and emotional Sleep - 7-9 hours Exercise - not too much or too little Remove toxins - caffeine, alcohol, drugs, environmental Targeted Supplementation
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Adrenal Supplements Herbs, including Rhodiola - adaptogen B5, B6, Vit C L-tyrosine - especially good for depression, low energy Licorice root - especially for inflammatory conditions
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Mind-Body Techniques for Balancing Stress Hormones Relaxation Breathwork Autogenics and Biofeedback Meditation Imagery/Self-hypnosis Exercise Prayer
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Bone Building Estrogen Testosterone Raloxifene Calcitonin Exercise Sunlight Vit D Calcium Magnesium Boron Strontium Orthosilisic Acid