Managing Menopause: Overview of Symptoms, Update on Therapies

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  • Опубликовано: 3 май 2015
  • (Visit: www.uctv.tv) Almost 6,000 women in the US reach menopause every day. Kathryn Macaulay, M.D. explains common symptoms of menopause and its potential health effects. Learn the latest methods of managing symptoms and utilizing newer therapies. Series: "Stein Institute for Research on Aging" [5/2015] [Health and Medicine] [Humanities] [Show ID: 29117]

Комментарии • 126

  • @3007liz
    @3007liz 2 года назад +4

    Thank you for this educational speech. I'm 58 and healthy, last period two years ago. So, I've wasted two years of my life so far because my doc didn't want to prescribe HRT due to the fear of breast cancer. So, I started researching. I've decided to consult another doc and start HRT. I hope it's not too late to reverse the symptoms, and prevent the diseases associated to estrogen deficiency. Thank you very much from Argentina.

  • @bonnierobinson8684
    @bonnierobinson8684 2 года назад +5

    Guess what your employer can discriminate against you because you are being affected by menopause. Don't let them get away with this! This needs to be addressed in Employment issues!

  • @charlesstutts4578
    @charlesstutts4578 9 лет назад +7

    Excellent presentation! Very thorough review of menopause.

  • @betrueluvbetrueluv
    @betrueluvbetrueluv 8 лет назад +4

    Thank you Dr. Macaulay for this information! Especially was interested in the slide, "Where we are now", and will discuss this information with my team of healthcare professionals. NICE PRESENTATION!

    • @rafaellogan332
      @rafaellogan332 3 года назад

      i dont know if anyone gives a damn but I just hacked my friends Instagram password by using Instaplekt. You can find it by Googling if you wanna try it yourself

  • @elsagrace3893
    @elsagrace3893 2 года назад +3

    This woman has no problem at all harming her patient by not treating them for future disease.

  • @cat_623
    @cat_623 2 года назад +3

    Seven years after this talk was released, and we know a LOT more about HRT, especially long term use. Just because the FDA thinks we should use HRT only for short-term management of perimenpausal symptoms (a group probably made up of men, ugh) does not mean that we should do that only. We now have research and proof that HRT can and should be used primarily for prevention of diseases and illnesses that are mainly caused by the lack of estrogen and progesterone in women, namely heart disease of all kinds, dementia of all kinds, osteoporosis (all life-threatening illnesses with serious disability associated with them), and for maintenance of female genitourinary tract health. Estrogen affects every tissue in the body, so if your body needs it, don't just squirt it on the skin or vulva. Take it so it goes into the bloodstream and reaches every part of your body that needs it. Long-term use of individualized HRT is now considered to be safe. Many GYNs plan THEMSELVES to take it indefinitely, and I'm talking into their 70's and 80's and beyond.

  • @Nicole-sw3ke
    @Nicole-sw3ke 4 года назад +5

    Thank you for sharing this presentation. It was really interesting and I feel personally more informed about what’s ahead and the options available.

    • @karleensalmon6612
      @karleensalmon6612 3 года назад +1

      Thank you for sharing. I feel much more educated.

  • @gaylecheung3087
    @gaylecheung3087 4 года назад +8

    I lost my Libido November 7, 2001, I’m 57 March 2020

  • @carrieoff
    @carrieoff 3 года назад +6

    I’m 48 and been taking bio identical HRT for six weeks. It has changed my life.

    • @carrieoff
      @carrieoff 3 года назад

      @@reductioabsurdum4074 Havent felt light headed at all.

    • @elsagrace3893
      @elsagrace3893 2 года назад

      @@carrieoff do you understand why bioidentical hormones are called so? It’s not the molecules. The molecules are identical to the molecules of regular HRT. Nothing different at all. It’s the mixture. “Bioidentical” is a mixture of 80% Estriol and only 20% Estradiol. Estridiol is the effective hormone. Estriol is a very weak estrogen. It is for supporting pregnancy. The Bioidentical mixture DOES NOT PREVENT OSTEOPOROSIS, HEART ATTACK AND ALZHEIMER’S. you will get to 75 and wonder why you have osteopenia and by that age you will not be able to take HRT to prevent any of it.

    • @carrieoff
      @carrieoff 2 года назад

      @@elsagrace3893 please do show me a paper to support what you are saying...

    • @carrieoff
      @carrieoff 2 года назад

      @@elsagrace3893 you have that the wrong way round. What research paper are you quoting from?

  • @TamsenFadalTV
    @TamsenFadalTV 2 года назад

    I love being more informed about menopause always. Thank you!

    • @elsagrace3893
      @elsagrace3893 2 года назад

      Keep learning. You don’t know the half of it. Menopause Taylor channel is in-depth education.

  • @franceschukwukere209
    @franceschukwukere209 2 года назад

    Great lecture. Thanks.

  • @usereEyez6208
    @usereEyez6208 8 лет назад +1

    What do you think about Menoquil to reduce symptons?

  • @bigglesthwaite
    @bigglesthwaite 5 лет назад +6

    28:20 hormone therapy randomised controlled trials results
    51:15 bio ‘identical’ or bio similar hormone therapy
    What about treatment for osteoporosis without hormone therapy as mentioned at the beginning of the talk?

    • @shivubains115
      @shivubains115 4 года назад +1

      Its using bisphosphonates to improve bone density

  • @adams5454
    @adams5454 8 лет назад +8

    Great information. Thank you. I am 38 yrs old I had a full hysterectomy in 2012 and recently went for my annual obgyn also a blood test, I was not surprised my levels are dramatically lower than the recommended levels. I felt like I was going insane while on fire!!! I am going to start BHRT in 48 hours (that is typically how long it takes a compound pharmacy to create a individuals mixture) but I still have major concerns about any treatment. However, I need a clear mind and controlled symptoms to be effective in my research for what is best for me and my daughter, when she starts her life change. My best advice thus far is Mediation, Yoga, healthy eating, and positive affirmations/visualization. Also, it is very important to take the right supplements and at minimum 8 glasses of water daily. These are just my suggestion, clearly I am not a Healthcare provider, merely a struggling mid-age adult trying to find what works for me.

    • @elsagrace3893
      @elsagrace3893 2 года назад

      Oooh, I feel sorry for you. Bioidentical hormone replacement is not going to protect you from osteoporosis, heart attack and Alzheimer’s. You will be horrified in 15 years when your bone density scan shows osteopenia. It isn’t reversible. After 10 years without regular HRT you will not be prescribed because of the cardiovascular risks. More than 10 years without regular HRT allows your arteries to harden. However do not ask your doctor to prescribe HRT for disease prevention. They won’t do it. You have to complain loud and long about the menopausal SYMPTOMS only.

  • @sandyjohnson1558
    @sandyjohnson1558 3 года назад

    Very good information for women and help them understand a lot about menopause. What things should we use together. estrogen progesteron testosterone. And what should we not use together? Big questions and this lady explains it very well

  • @sifeij
    @sifeij 3 года назад +6

    Does anyone get swollen thyroid due to menopause? and how to treat it? Thank you.

  • @tinaleach7448
    @tinaleach7448 Год назад

    How do i find a dr in Cleveland ohio i been telling my ob dr and she's not doing nothing for me i cant keep doing it right before i start i feel real sick hot flashes and no energy please help me

  • @Juliana65
    @Juliana65 4 года назад +7

    Why is a young, non menopausal woman discussing menopause? What does know about it outside of the books she's read?

    • @lenorepaletta9267
      @lenorepaletta9267 4 года назад +3

      Just wait.....Ha, Ha,Ha it will be her turn.

    • @garciajoselyn2750
      @garciajoselyn2750 4 года назад +4

      Absolutely

    • @saharagold
      @saharagold 4 года назад +4

      Exactly. Like she knows about suffering.

    • @kathrynmacaulay8121
      @kathrynmacaulay8121 4 года назад +5

      Thanks! I am in menopause now :) and still caring for many menopausal women in my practice. So grateful to have opportunity to teach younger generations to help women when my generation retires!

    • @abfatieabfatie7957
      @abfatieabfatie7957 3 года назад +2

      Exactly! Have no idea how it actually feel she only know words!

  • @nishiramkhelawan8622
    @nishiramkhelawan8622 Год назад

    Its now all about regulating & maintaing gut health.

  • @salimajaikishnu1791
    @salimajaikishnu1791 4 года назад

    Hi doctors I miss my period 2 months them I get it back I going on.about 2 weekend know is that ok

  • @gaylecheung3087
    @gaylecheung3087 4 года назад +4

    Where in 2020 and we’re still using that stupid BMI chart, muscle is heavier than fat

  • @mn_ice
    @mn_ice 4 года назад

    Should my regular gynecologist be able to prescribe hormone therapy or do I need to see a hormone specialist? Thanks for the useful information!

    • @veganjess94062
      @veganjess94062 2 года назад

      Your regular GYN should be able to.

    • @elsagrace3893
      @elsagrace3893 2 года назад +2

      Yes, your regular Gyn will prescribe BUT only for menopausal SYMPTOMS. They will not prescribe for disease prevention so complain of symptoms. They will give you the lowest dose. Repeat visit and keep complaining of symptoms so they increase the dose.

  • @maggiemoreno7957
    @maggiemoreno7957 4 года назад +5

    Is it dangerous when the heart palpitations occur? My heart starts palpating pretty fast and it’s scary 😳

    • @SunnyDeeTee
      @SunnyDeeTee 4 года назад +2

      Usually not. Check out youtube videos by York Cardiology and listen to that cardiologist talk all about palpitations. He really eased my mind about them.

    • @kimberlyhendricks6388
      @kimberlyhendricks6388 4 года назад

      Me too

    • @dougwertenberger4677
      @dougwertenberger4677 3 года назад

      Maggie Moreno has to work out on the top floor of our room and I plan for the day tomorrow night I have some fun at night for a bit to hang around in a little let go by then

  • @SunnyDeeTee
    @SunnyDeeTee 4 года назад +6

    "In 1900 womens life expectancy was about 48 years"? If you've ever done any genealogy you will know that's not true at all. That statistic (like many statistics) includes babies who die at birth or a little after. And since the life expectancy for a newborn in 1900 was much lower then and today babies are not dying so often due to medical "advsnces" this is shown in the average as a significant drop in life expectancy. Its the same as taking the average life expectancy of two babies. One dies at birth and the other lives to be 100. The average life exp6would then be 50 years.

    • @RB-pf6dz
      @RB-pf6dz 4 года назад

      Sunny Dee Tee
      Excellent point, but most ppl regurgitate the skewed data.
      “There r lies, damn lies n statistics”.

    • @rg8071
      @rg8071 2 года назад

      @@RB-pf6dz
      Statistics don't lie, people do. Incidentally, are you or Sunny D British? Why do you put your terminal punctuation outside of the quotation marks? No judgement, just something I noticed and was curious about.

    • @elsagrace3893
      @elsagrace3893 2 года назад

      Sunny D, this is bullshit. All you have to do is walk around an old graveyard to know that there are no old women in there. What do you think they did with all the bodies of the women you claim lived past 50? Did they cremate them all and spread them? YOU ARE THE ONE REGURGITATING BULL SHIT PROVIDED TO YOU BY A HOLISTIC NATUROPATH! Please stop!

  • @katemontelpare7198
    @katemontelpare7198 4 года назад

    I,v been dealing with many problems . I had hot flashes over 20 years really bad .i call it 24/7 what do you recommend I,m 62

    • @katemontelpare7198
      @katemontelpare7198 4 года назад

      Now I’m gaining weight out of control

    • @elsagrace3893
      @elsagrace3893 2 года назад +1

      I recommend watching Menopause Taylor channel.

  • @radhasakhi.lalana
    @radhasakhi.lalana 9 лет назад +3

    also, a fan or more to help keep us dry from the sweating is a great technique.

  • @janicegardener750
    @janicegardener750 3 года назад

    Just subscribed to your channel

  • @Sunnysets
    @Sunnysets 4 года назад +14

    This was an hour video of listening to women being lab rats & all the mistakes doctors made prescribing their miracle pills. Couldn't finish the video. Makes me realize even more to always always always research whenever a doctor writes out a piece of paper for a synthetic pill like they do for everything. My doctor did that when I was at my appt last year. I am 53 and she prescribed me synthetic hormone pills and wanted me to be on an auto shipment with some company. Maybe she was getting the ol kickback from the pharmaceutical Co? Nope. Didn't do the synthetic.

    • @tinafabulous50
      @tinafabulous50 3 года назад +3

      I'm just listening thinking, "This is nothing like the research I have done and dealing with my peri with naturopathic doctors and functional medicine practitioner."
      One does not have to suffer or take toxins that may make you sick to feel healthy.

    • @elsagrace3893
      @elsagrace3893 2 года назад

      Both of you ladies do not understand that your “natural” bioidentical hormones are the exact same molecule as the Pharmaceutical ones. Why they are called bioidentical is the mixture of estrogens. 80% estriol and 20% estradiol. Estriol is a weak estrogen. It is for supporting pregnancy not for supporting you. To prevent osteoporosis, heart attack and Alzheimer’s you need Estradiol at a MINIMUM of .05mg per day in a patch and 1mg per day orally. That’s the facts. I’m glad you feel better now but in 15 years or at 65 when your insurance will finally approve a bone density scan you are going to be pretty sad about having osteopenia. At that point it will be too late to reverse and too late to start on HRT. In those 15 years on your ineffective dose of of “natural” hormone your arteries will harden, plaques will develop making HRT contraindicated as in can cause plaques to dislodge. You made your decision WITHOUT RESEARCHING WHAT YOUR DOCTOR WAS ADVISING. .

    • @elsagrace3893
      @elsagrace3893 2 года назад

      Bioidentical is not a medical term. It’s a marketing term. In trying so hard to not get scammed, you got scammed. I’m so sorry. Like you said DO YOUR RESEARCH and do it THOROUGHLY. You’ve done it only partially.

  • @TheTericooper
    @TheTericooper 2 года назад

    I feel as if you had suggestions for the systems. Didn't speak on hormone replacements. I do know people who use herbs that have been highly successful. Thank you

  • @radhasakhi.lalana
    @radhasakhi.lalana 9 лет назад +6

    cranberry and pomegranate are excellent to use for any urinary issues and also lemons. drinking these will help.

    • @tonifoster6253
      @tonifoster6253 4 года назад +1

      Radhasakhi Lalana as long as you don’t leave lemon juice on your teeth, the acid will kill your enamel

    • @radhasakhi.lalana
      @radhasakhi.lalana 3 года назад

      @@tonifoster6253 Peace be unto you...
      Yes, the acid from many different kinds of foods can destroy enamel and needs to be rinsed with water thoroughly just immediately after drinking any acidic product...
      Once able to brushing with baking soda is great or using an enamel building toothpaste...
      Do you know of ways to rebuild enamel?
      Take care and be true to your heart
      With Peace and Divine Loving Consciousness Radhasakhi

    • @elsagrace3893
      @elsagrace3893 2 года назад

      Once you lose estrogen at menopause your vaginal and bladder tissues shrink up. The urethra becomes exposed with the loss of protective vaginal tissues surrounding it. The vagina loses its capacity to produce moisture. This leads to an increase in Ph. Loss of moisture also stops the vaginal self cleaning mechanism. Both of these things allows bacteria to grow more easily and enter the urethra to cause infection. This doctor is a bitch because she isn’t addressing any of this. No amount of any type of juice is going to help this.

  • @veronicabharwani9397
    @veronicabharwani9397 4 года назад +3

    So a quick overview of this thorough explanation pretty much boils down to women being COMPLETELY FUCKED after the age of 40. Meanwhile men are going through a midlife crises and want to reverse everything , look young , maybe drive a sports car ,change exterior appearance, start working out....during this time the wife is practically starting her decline so what happens?? Obviously men become distant , annoyed which ultimately leads to CHEATING! Thank you God. Can't really admire you on this equation. 🤦🏻‍♀️😪

  • @florencethomas2865
    @florencethomas2865 4 года назад

    What are your thoughts on taking antidepressant to treat hot flash and anxiety?

    • @lenorepaletta9267
      @lenorepaletta9267 4 года назад +2

      What's the point? Replace the missing hormones and change the diet to a higher fat very low carb moderate protein one.The brain needs cholesterol as does the entire body. Sex hormones require healthy fats to form. This low-fat crap pushed in the past is wrong, wrong, wrong.

    • @elsagrace3893
      @elsagrace3893 2 года назад

      The bioidentical hormone crap needs to die too. It’s doing nothing but hurting women long term while improving their hot flashes short term.

  • @NickanM
    @NickanM 7 лет назад +11

    *Cotton underwear! Cotton underwear! That is my best tip so far.*

  • @robinrichmond6286
    @robinrichmond6286 7 лет назад +4

    I had uterus , tubes and ovary removed at age 46 or so. I was okay using natural methods for 3 years then went into extreme menopause symptoms. I have hot flashes with drenching during day as well as night. I was on estrogen for almost 10 years and taken off by doctor. I went right back to extreme symptoms. I have had this over 12 yrs now. I have been on various groups online and there are many women who have had menopause symptoms for well over 10 yrs.

    • @catbee1452
      @catbee1452 6 лет назад +1

      Find a practitioner who is knowledgeable with the use of bio-identical hormone replacement therapy. It is NOT right that women have to suffer like this when they don't have to! Your body needs hormones!

    • @yardartistry4121
      @yardartistry4121 5 лет назад

      Cat Bee exactly!!!

    • @yardartistry4121
      @yardartistry4121 5 лет назад +3

      Cat Bee once you start estrogen you shouldn't stop!! That's why you have the symptoms and and it's more risky stopping treatment once started!

    • @elsagrace3893
      @elsagrace3893 2 года назад

      @@catbee1452 bioidentical hormone replacement will make you feel better but it won’t make you better.

    • @catbee1452
      @catbee1452 2 года назад +1

      @@elsagrace3893 I'm maintaining my bone mass since I started HRT. And yes, it does make some things better...I no longer have pain with intercourse.

  • @rosalvamartinez582
    @rosalvamartinez582 8 лет назад +2

    I've had a total hysterectomy since 1998. I went to my gyn this month Dec. 2015 and she said I don't need estrogen if I'm not having hot flashes and night sweats. She said doctors not recommending estrogen because of risk in breast cancer and blood clots. She said I need depression medication and only prescribed me vaginal tablets. What do you think?

    • @SKiLLsSoLoN
      @SKiLLsSoLoN 8 лет назад +2

      Taking hormones are a bad idea. Learn how they work and how they are produce and do those things! That is what I think :)

    • @catbee1452
      @catbee1452 6 лет назад +6

      Your GYN is not correct. They are quick to slap you with anti-depressants and anti-anxiety medication though. Find a practitioner that specializes in bio-identical hormone therapy. Have your testosterone checked (yes, women normally have pretty decent testosterone levels. Low levels of testosterone levels can obliterate libido, cause depression, anxiety, apathy, fatigue etc). There are bio-identical testosterone supps for women too. Have someone check your thyroid function AND all your hormones levels, including testosterone. You deserve to feel better. I have no tolerance for practitioners who patronize suffering menopausal women by prescribing everything BUT the very thing they need...HORMONES! And FYI, the vaginal tablets your doc prescribed is most likely the low dose estrogen to help with genito-urinary symptoms of menopause. It isn't effective on all women. Some women need hormone supplementation...not oral, synthetics hormones, but topical creams/gels, patches or pellet bio-identical hormones ONLY

    • @kitten6363
      @kitten6363 6 лет назад

      After your hysterectomy in 98, did the drs give you estrogen after that at all? Or have you gone from 98 until now without any estrogen replacement?

    • @angelalee31
      @angelalee31 5 лет назад

      Rose”

    • @carolynpayton9411
      @carolynpayton9411 5 лет назад +1

      Change doctors

  • @Harmony7771
    @Harmony7771 2 года назад +1

    We'll talk again when you hit 60

  • @valeriepeliza3904
    @valeriepeliza3904 8 лет назад

    How do you do your hair for the wedding

  • @salimajaikishnu1791
    @salimajaikishnu1791 4 года назад

    My age 49 I born 1971

  • @pattizayas1051
    @pattizayas1051 7 лет назад +11

    weed needs to be legal every where............its safe n it works

  • @katemontelpare7198
    @katemontelpare7198 4 года назад

    Plz respond

  • @healingtouch22
    @healingtouch22 8 лет назад +8

    HRT can increase your risk of breast cancer BUT reduce your risk of heart disease... Ugghh...

    • @seasidesound7616
      @seasidesound7616 8 лет назад

      I found some really great and NATURAL remedies here: www.NaturalRemediesForMenopause.net

    • @catbee1452
      @catbee1452 6 лет назад +6

      Not exactly. Perhaps with oral synthetic HRT. But with bio-identicals, there have been no significant health risks identified. A decrease of breast cancer incidence and heart disease has been shown with the use of BHRT. And why isn't anyone talking about declining estrogen as the main cause of osteoporosis? Women are at high risk of developing osteoporosis due to the lack of estrogen and at low risk (or no risk) of developing breast cancer with the use of bio-identical HRT.

    • @yardartistry4121
      @yardartistry4121 5 лет назад

      Cat Bee Yes I am using pellets after a hysterectomy and my osteoporosis went to osteopenia in with the use of estrogen and testosterone and my muscles are stronger I got energy and my skin looks great!! I truly recommend the use of the pellet BIODENTICAL HORMONE REPLACEMENT THERAPY!!
      The one I use is SOTOPELLE. Every 4 to 5 months

    • @carolynpayton9411
      @carolynpayton9411 5 лет назад +3

      Run away from HRT

    • @nicoledefontaine6144
      @nicoledefontaine6144 4 года назад

      Yard artistry hi I’m in Australia what type of Estrogen is it you have. I’m hoping pellets will help me also

  • @cathleenkealey7451
    @cathleenkealey7451 3 года назад

    Why do you use a male voice for this?

    • @cathleenkealey7451
      @cathleenkealey7451 3 года назад

      Whoops this was posted on the wrong session 😃 clearly a woman expert. Thanks

  • @elsagrace3893
    @elsagrace3893 2 года назад

    This woman is horrible. Absolutely horrible.

  • @lindalee1217
    @lindalee1217 5 лет назад +1

    Menopause