🌸

Lecture on Menopause

Jul 14, 2024

Lecture on Menopause

Statistics and Concerns

  • Stats: In 2023, 85% of women complain of menopausal symptoms; only 10.5% receive treatment.
  • Menopause is inevitable, but suffering is not.
  • Women are more likely to be prescribed antidepressants than hormone therapy.
  • Symptoms include brain fog, sexual function changes, weight gain, worsening mental health conditions, increased risk for cardiovascular disease, diabetes, urinary tract infections.

Introduction to Dr. Mary Claire Haver

  • Renowned menopause expert with over 2 million followers.
  • Focuses on helping women navigate menopause.
  • Dr. Haver's mission is to educate and provide solutions for menopausal symptoms that go largely unaddressed.

Personal Story and Expertise

  • Dr. Haver initially focused on OB-GYN, delivering babies.
  • Realized a gap in menopause education as she aged with her patients.
  • Returned to study nutrition to address weight gain and other menopausal symptoms.
  • Developed the Galveston Diet focusing on anti-inflammatory foods.

Menopause Impact

  • Affects 1.2 billion women globally.
  • Symptoms include muscle mass loss, mental health changes, cardiovascular issues, and more.
  • Urges people to focus on strength training and proper nutrition.

Menopause Stages Explained

  • Perimenopause: Starts 7-10 years before menopause, symptoms begin as estrogen levels fluctuate.
  • Menopause: Officially starts one year after a woman's last period; average age in the US/EU is 51.
  • Postmenopause: The rest of a woman’s life after menopause.

Multi-Organ Impact

  • Estrogen receptors in every body system: bones, mental health, cardiovascular system.
  • Validation for women experiencing diverse symptoms like vertigo and frozen shoulder.

Evolutionary Perspective

  • Only a few species, including humans, go through menopause.
  • Grandmother Hypothesis suggests evolutionary benefits to menopause.
  • Increased lifespan due to modern medicine exposes more women to menopause’s extended impacts.

Current Medical Approach and Failures

  • Training gaps in menopause care for physicians.
  • 85% of women suffer without proper care; only 10.5% get hormone replacement therapy (HRT).
  • False concerns from past studies (WHI) cause hesitance in prescribing HRT.

Importance of HRT

  • HRT can reduce risks of diabetes, cardiovascular disease, and dementia when started early in menopause.
  • Forms of HRT: Pills, creams, patches, vaginal estrogen for localized treatment.
  • Need for comprehensive menopause clinics and better education for providers.

Long-term Health Consequences

  • Increased cardiovascular issues, diabetes, and more without proper menopause management.
  • Importance of strength training and nutrition.
  • Role of vitamin D and fiber in menopause management.

Addressing Mental Health

  • New onset or worsening of mental health conditions like depression, anxiety, and bipolar disorder.
  • HRT can be an adjunctive tool for managing mental health during menopause.

Nutrition and Lifestyle

  • Focus on anti-inflammatory nutrition to manage symptoms.
  • Diet should incorporate high fiber, lean proteins, vitamins (D, magnesium), and healthy fats.
  • Personalized approaches to include fasting (16/8 method) for systemic inflammatory benefits.

Takeaway Message

  • Menopause is a universal experience for women; suffering can be mitigated with proper care and education.
  • Advocacy and self-education are crucial due to systemic gaps in care.
  • Encouragement for open conversations about menopause among both women and men.