Managing menopause naturally
Anyone who is a regular reader of this blog knows that my goal is to explore and identify effective strategies to manage menopause and midlife challenges, strategies that don’t necessarily involve pharmaceutical agents. However, although I am strongly in favor of an integrative approach to health, I am the first to recognize that drugs and certain alternatives, e.g. herbs, are not incongruous but rather require informed decision making. What I don’t support, however, is disease mongering; as greater numbers of women enter menopause, they are increasingly becoming a target for the ‘Menopause Industrial Complex,’ a term that I believe applies to any organized effort to provide women with agents to combat the aging process and highlight the need to use them. In this case, informed decision making becomes a rather misinformed mess.
Speaking of misinformed messes, do you recall Hot Flash Havoc, which I characterized as ‘an infomercial of menopausal proportions, a messy mash-up of HRT hype and fear and loathing, a big estrogen dildo just waiting for an opening?’ Truly, this film made me lose faith in ways I never thought possible. Fortunately, however, everything that is so very wrong with Hot Flash Havoc is so very right with Managing Menopause Naturally, a new documentary that is slated for release on September 27.
Admittedly, I was skeptical going into the screening of this film. And fully convinced coming out of it that Managing Menopause Naturally achieves everything that Hot Flash Havoc did not. If there is a menopause goddess, she is lurking in a variety of MDs, nutritionists, midwives and academics, including those featured in this film, who believe that informed decision making lies with fair balance and choice and not with fear and self-loathing.
Managing Menopause Naturally takes the stance that postmenopausal women are no more estrogen-deficient than young girls approaching puberty and that contrary to public opinion, women going through menopause have plenty of hormones but at a lower level than their reproductive years. In fact, as Aleida LLanes-Oberstein (an RN and Board member of the New York State Midwifery Association) says, menopause is nature’s way of helping a woman move into a less stressful part of her life, to be free of childbearing and rather, nurture herself and her extended family. What an opportunity instead of a death sentence! Moreover, Western culture that has become desensitized toward this transition into another period of a woman’s life, a vision that is a far cry from Eastern cultures that believe that menopause is a period in a woman’s life where blood, fluid and hormones are directed inward for a woman to use for herself for revitalization and healing.
The film offers up current knowledge and education, not just about a woman’s anatomy but also about societal constructs, pharmaceutical and non-pharmaceutical strategies and generational distinctions. It provides a context for menopause, following a historical trail peppered with respectful humour and anecdotes. It is thorough, well-researched and challenges the viewer to challenge the status quo, place menopause within the context of an entire lifetime, acknowledge that there is no single correct path to follow and to make choices based on personal preference and need, as well as community knowledge. This is especially important notes one of the film’s experts, Tierona Low Dog, an MD and midwive and Director of Botanical Medicine at the University of Arizona Program of Integrative Medicine, particularly in the context of where we are today with hormone replacement. “If we start to use community knowledge, menopause and the issues surrounding hormone replacement therapy will be based on educated information and less on dogma,” she says.
In addition to community involvement, the film also points to the need for younger women to start thinking about menopause earlier, an opinion I have long held. Granted, it’s tough to think about menopause and aging in your mid-thirties when kids and family and work and life get in the way. And who wants to think about growing older? Nevertheless, as another expert, Isis M. Medina DC, CCN. Associate Professor at New York State College of Chiropractic notes, “taking measures to take charge early” can alter how the menopause transition plays out. The overriding message of the film is that ultimately, menopause is a personal puzzle that is only partially addressed by hormones, vitamins or other strategies and that that puzzle is a personal one with many data points ranging from lifestyle and geography to diet and culture.
If I have one major criticism of the film, it’s that it is too long, and I suspect that a few viewers will drop off far too early to obtain some of the more important messages that are sprinkled through towards the end. I wish that the editing had been tighter but even after watching it a second time, I’m not sure where I’d cut first; that’s how much I liked the point of view, the honesty and the tone.
Every now and then, something comes along to challenge our inner skeptic, inform our doubts, answer our concerns and help us forge a new path. This film is a gift and I encourage you to watch it.
[Disclosure: I did not receive any compensation to review or endorse this film. However, the marketers did provide me with a free copy of the DVD for my personal review and use.]
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Wednesday Bubble: Are you invisible?
Early last year, I wrote a post for Women Grow Business based on an interview I had conducted with the incredible Author/Chef Mollie Katzen. Entitled “The Incredible Disappearing Woman: Lessons on Dealing with Ageism,” the post focused on ageism in our culture and the fact that as women age, they often undergo a culturally-driven disappearing act in both their personal and professional lives.
During our interview, Mollie discussed a five-step strategy to insure that women continue to matter, a strategy that is self-respectful, empowering and focuses on playing up one’s strengths without resorting to smoke and mirrors. Hence, I was a bit dismayed to run across a post on Talent Zoo the other day that addresses a similar theme but in less empowering vein. Mind you, I was not dismayed because of the topic but rather, because of the content, which for the most part, encourages women to play up their sexy and physical appearance while mostly ignoring their inner core. A few examples:
1) Expand your group of friends…by hanging out with people who with different perspectives.
That’s great advice, right? However, the author offers “because different perspectives will make you a more interesting person, and that’s sexy, which always gets noticed.” Hmmm, “sexy always gets noticed.”
2) Become friends “with a bit of lycra in your fabrics and dresses that need nothing more than a cool scarf to be a complete outfit.”
While you’re at it, since 40+ is obviously old and over the hill and subject to gravity, why not grab that Spanx and corset? Just sayin’.
3) “Innocently flirt.”
Flirting, the author says, makes others feel good about themselves and you should practice this even on people you don’t find especially attractive.
4) Be a real grownup in order to embrace “cool confidence.”
Okay, admittedly, I don’t even know what this one means.
5) “Work out with weights,” and, “lift a lot more than you think you can” since “nothing will get you fit faster and give you more body confidence than some muscle tone, and that means lifting real weights way past your comfort level.”
Wow. Just wow!
Let’s try this one again, shall we? Mollie-style:
From a social perspective:
- Posture! The first sign of “older” is often stooped shoulders. Standing tall conveys confidence and strength. “Anyone who is not attracted to that is someone you don’t need in your life.”
- Keep a focused gaze. “Looking sharp sharpens, Mollie explains. “Glazing over glazes you over.”
- “A smile is the best and cheapest face lift. Especially when it is genuine; your smile, not theirs.”
- Breathe deeply. Then speak. “When you do speak, let your voice come from your abdomen and be fueled by that deep breath.” (This isn’t easy, btw.)
- “Don’t ask your sentences unless they are questions.” (Remember Valley Girl by Frank Zappa?)
- “Try to find the love in all situations.” Mollie explains that in most cases, this needs to come from within. “Recognize that sometimes that love can take the form of putting up a boundary. Recognize also, that putting up that boundary can be cloaked in warmth and humor, even while you are being assertive.” She adds that “true personal power can be a warming and loving representation.
- Develop your own centeredness and use that for balance.
And, in business:
- Stay centered in your “standard,” meaning you should anticipate what other’s need and provide it. The customer matters as much as you do.
- Don’t drink the Kool-Aid. Buck societal aversion to age by avoiding dogma and overcoming prejudice. Rather than giving in, evolve your business in ways that positions you for longevity.
- Leverage your power to empower. The more that women are able to embrace and not tear down, play up one another’s strengths and share wisdom, the likelier the total universe of women is to be empowered and enabled.
- Look in the mirror…often. This is what you look like at 40, 50, 60 and that image is not based on preconceived notions. In other words, the buck stops at your insecurity and no one elses’.
At the age of 40, I felt better than ever — more self assured, comfortable in my own skin and comfortable in my career. I hardly felt invisible. At the age of 50, I am realizing that I don’t care as much anymore, that I’ve worked hard to earn my rite of passage. And that in some ways, I look and feel better than ever.
Trust me, you don’t need the tricks to stay in the any game. Use your knowledge, self-worth and inner beauty to solidify, maintain and stay visible.
Read MoreMidlife metamorphosis: for da guyz
Yes, this one if for da guyz. Who may or may not be dealing with their own aging issues. Who says that Flashfree isn’t an equal opportunist when it comes to gender issues?
This one’s a redux. Because men? You’re worth it.
[Used with permission. Dan Collins. http://www.dancollinscartoons.com]
In Laura A. Munson’s poignant “Modern Love” post, ‘Those aren’t fighting words, dear” she writes about the crisis of self that may seem familiar to many in midlife who are watching or have watched their husbands or partners implode. In the post, (which I highly recommend if you’ve not read it) Laura writes:
And I saw what had been missing: pride. He’d lost pride in himself. Maybe that’s what happens when our egos take a hit in midlife and we realize we’re not as young and golden anymore. When life’s knocked us around. And our childhood myths reveal themselves to be just that. The truth feels like the biggest sucker-punch of them all: it’s not a spouse or land or a job or money that brings us happiness…
The premise that happiness comes from within is not a new one. However, the midlife spin on it can be a wake-up call of epic proportions, when we start reaching for a gold ring that actually resides out of sight. Yet, why are we yearning for what was rather than what is to be? Aren’t life’s many transitions, including the one that our partners and each of us are facing, movements into the next phase of productivity or change or growth, rather than a loss of self?
I’ve had many conversations with women who are facing or have faced situations that are similar to Laura’s. Overwhelmingly, they say that women tend to themselves a little at a time so that the crises never quite reach the precipice. That many women are able to deal with their physical and emotional changes incrementally so that the ultimate metamorphosis — who they are during and at the end of their lives — is not a monumental shock.
Dick Roth, in his wonderful book “No, It’s Not Hot in Here,’ devotes a chapter to men in midlfe. He says that men should repeatedly ask themselves three questions:
- What won’t pass away when my youth does?
- Who will I be after my career is over?
- Who would I be if everything else was gone but my mind and feelings?
Referencing the book The Diving Bell and the Butterfly, Roth adds that the protagonist’s lack of self-pity and ability to cherish his soul provided him with the foundation to overcome his physical confinement (the author, who was completely paralyzed by a stroke except for a single eyelid, was only able to communicate by blinking this one eye).
Cherish your soul. Sounds a lot simpler than it is. Or does it?
As much as we expect our partners to understand what we are going through as hormonal changes wreak havoc on our psyches and our bodies, we must also be willing to offer the reverse, to acknowledge the changes and struggles that our partners are going through, their self-confinement, and perhaps their inability to cherish or tap into their souls.
Midlife doesn’t have to be a four-letter word. What rings true for women, also rings true for men.
Seize it.
Read MoreWednesday Bubble: it truly is the best medicine
I’m especially happy to write this Wednesday Bubble because it’s inspiring and makes me want to jump for joy! Or better, yet, laugh a little. And even though this has been posted previously on Flashfree, it’s never to late to remind ourselves of the lighter side.
Several years ago, researchers discovered that humor therapy and anticipation of laughing or being amused (also known as mirthful laughter) positively affects immunity. In fact, findings from a series of five separate studies among healthy men demonstrated that just anticipating watching a funny video could increase beta-endorphins (hormones that elevated mood) as much as 17% and human growth hormone (which contributes to more optimal immunity) by as much as 87%. Elevated hormones levels were maintained throughout the video and as long as 12 hours after. Conversely, hormone levels did not increase in men who who did not anticipate watching a humorous video and instead, browsed magazines.
Similar results were seen in another study among healthy adult women; this time mirthful laughter was associated with significant declines in stress hormones and improvements in natural killer cells, which contribute favourably to immune function.
Over the past two years, researchers have been examining the effects of mirthful laughter on actual disease states. Findings of a year-long study presented two years ago at the Experimental Biology Conference suggest that watching a funny, 30-minute video on a daily basis may impart a long lasting impact on health that includes:
- Lower stress hormones (epinephrine and norepinephrine) and related stress levels
- Lower levels of inflammation that can contribute to disease
- Significant improvements in HDL cholesterol
- Significant reductions in harmful C-reactive protein levels (a protein that increase the risk for heart disease, heart attack, stroke and death)
This particular study evaluated laughter in patients with diabetes, high blood pressure and high cholesterol who were also taking medication. Notably, similar positive outcomes were not seen in patients who did not have the benefit of watching the funny video.
What can we take away from this work and what does it have to do with menopause? Actually, I’d like to ask, what doesn’t it have to do with menopause and midlife?
During the transition, women are subject to hormonal stressors that affect mood, functioning, wellbeing as well as disease risk. If there are simpler, more natural ways to improve healthy states, for example, by daily laughter, shouldn’t we reach for them? I’d rather take a dose of funny over pharma any given day.
Here’s my gift to you: laugh today. And tomorrow. And the next day. And spread the joy. Nothing like a deep belly laugh to take some of life’s challenges away.
Read MoreWomen’s health: “it’s a spiral, not a bulls-eye.”
“A spiral is the path; it is the journey. I walk it with you, and do not do it to you. It represents life. It represents women…”
My friend and colleague Regina Holliday wrote these words about a jacket that she has painted on my behalf, a jacket that represents women’s struggles to overcome the restrictions that challenge their right to adequate healthcare and a jacket that I will be honoured and privileged to wear this coming Tuesday during The Walking Gallery. She has depicted this struggle within the framework of a triskelion symbol, three interlocked spirals that is used to depict three reproductive cycles in a woman’s life (maiden, mother, crone). In the Celtic belief system, the three-legged triskelion represents:
- personal growth
- human development
- spiritual expansion
as well as the phases of the moon, i.e. waxing, waning and full. I relate to this concept mostly because of its fluidity and the creative way in which Regina has characterized a woman’s struggle throughout her lifetime.
The jacket that I will wear is dedicated to all of my readers and to women everywhere who are under attack strictly because of their gender and their ability to reproduce. It seems sort of ridiculous doesn’t it? And yet, as I wrote last year in Disruptive Women in Healthcare, the other side of the aisle is not a political party but rather, women, gender bias and reproductive rights biases.
If you are local, I hope that you will come out and support the event (there are free tickets available), a wake up call that the patient struggle is very real and affects all of us. Regina describes this as follows:
If you can’t make it, I do hope that you’ll start paying attention to Regina because she is a patient advocate of the first degree and her generosity of spirit and pureness of heart is virtually unsurpassed. Trust me; she is someone you want fighting for you when the healthcare chips are down.
Thank you Regina…from my heart. I can’t wait to represent!
Read MoreI got all my sisters with me…redux
[youtube=http://www.youtube.com/watch?v=AJ2L4iPvdIk]
Two years ago, I posted a piece about the importance of friendships and social support to our lives. Researchers agree that during the menopausal transition, the ability to nurture and nourish ties, coupled with overall satisfaction with that work, significantly predicts well-being.
A subset of 334 women from the Seattle Midlife Women’s Health Study were evaluated over a period of 8 years to determine the association between factors such as frequency and severity of hot flashes, hormone levels, number of negative life events and resources pertaining to mastery over and satisfaction with social support and overall well-being.
Study findings showed that for the majority, the menopause transition itself was not a predictor of well-being. Rather, when considered within a broader life context, one primary factor stood out – personal resources as they pertain to social support.
Undoubtedly, menopause can wreak havoc on our lifestyles, the way that we feel about ourselves and at times, the ability or inability to cope. ‘Tending and befriending,’ nurturing our personal relationships, communicating to one another when we need help, finding a shoulder to cry on or simply offering a hug not only reaffirms who we are but can also provide an essential foundation to see us through.
One of my favorite Aristotle quotes is this one:
What is a friend? A single soul in two bodies.
Last week I made an effort to cherish my soul. I met one of my best friends in Barcelona and we explored the city together, drank, ate, indulged in shopping, art and architecture, talked, cried, laughed and just were. It was nourishing, empowering, refreshing and mood boosting.
So, ask yourselves: when was the last time you cherished your soul?
Why not call or email a friend? Reach out to a family member you’ve not spoken to in awhile. Say hello to that neighbor you’ve been meaning to talk to but never find the time to. Mostly, take the time to well, take the time. You’ll be glad you did.
I sure am…