menopause

What’s your flava?

Posted by on Mar 5, 2010 in menopause, sexual desire, sexual health | 9 comments

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Are your labia feeling their age? Do they need a bit more pink? There’s an application for that. Literally.

‘My New Pink Button’ , a genital cosmetic colorant, will help restore your labia to their naturally ‘youthful’ pink color! Feeling a bit more daring?  There’s a color for that too! Purple, bright red, amber, you name it. Any shade that you’ve ever dreamt of. Any hue that your partner desires. After all, if you’re going to dye your hair, why not dye down there?

While you’re at it, you can also reshape your labia to insure that they are more desirable in appearance. Vaginal rejuvenation, writes journalist Angel Bonvoglia for the Women’s Media Center Blog, is a procedure where cosmetic surgeons (mostly men), “carve, burn, cauterize, and stitch the female labia, clitoral environs, vaginal canal, and other points south… in order to create supposedly longed for “designer” vaginas and thereby “enhance sexual gratification.”” Ironically, Bonovoglia discovers that  labiaplasty, the most popular procedure (which entails either leaving just the edge of the inner labia or cutting it off entirely) actually impairs sexual desire. Still, even a top surgeon is quoted as claiming that a tight vagina will keep any man around.

Granted, we live in a visual culture, where middle age is synonymous with invisibility and where older women reach a point where they virtually cease to exist. Women poke, pull, botox, dye, suck, lift and pout in an attempt to hold on to their visibility. Now they have the option to make sure that all is well down below as well, which when taken to extremes, also insures that they rob themselves of the very thing that they are trying to regain: their sexuality.

Why do we need to be worried about or spare our partners from discovering discolored or loose labia? (Really, if he or she is down there, are their eyes open?) Better yet, have our attempts to regain our sexuality insured that we have lost our sanity at the same time?

What do you think? What flava would you like your labia?

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Hope for hops: hot flashes and night sweats

Posted by on Feb 26, 2010 in estrogen, herbal medicine, hot flash, menopause, nightsweats | 4 comments

Do you remember last August’s post about beer and bone health? If not, research suggests that beer boosts bone density, or more specifically, a certain component in hops — namely female flowers — have high estrogen properties that help bone formation. More recently, researchers have been evaluating a standardized hop extract (8-prenylnaringenin) for the treatment of menopausal hot flashes. Among the many phytoestrogens contained in the female hop flowers, 8-prenylnaringen has been associated in laboratory studies with the highest estrogenic potency compared to others.

In a small, randomized, scientifically-sound study, researchers assigned menopausal women to either a hops extract 8-prenylnaringenin for eight weeks or placebo for 8 weeks; then they switched. Although both groups showed modest reductions in mild vasomotor symptoms (hot flashes, night sweats) during the first 8-week period, only women taking the hops extract after first taking placebo experienced higher average reductions in their flashes and sweats. Although these changes were not considered “significant” they did lead the researchers to conclude that preparations containing 8-prenylnaringenin might offer an alternative to hormones for women who experience mild vasomotor symptoms.

Are hops completely safe?

Most people do not experience side effects when taking hops. However, like any herb or drug, reactions are individual. In some people, hops can cause allergic skin reactions (e.g. rash) when handled. Hops can also cause  mild drowsiness, which is why hop extracts shouldn’t be taken with sedatives. In some cases, hops has been shown to lower blood sugar levels. And of course, as a phytoestrogen, it should not be used at the same time as hormone replacement and only under doctor supervision if you’ve had breast cancer.

So, it’s too soon to tell. But indeed, there’s hope for hops!

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Stirring the pot: a conversation with author/chef Mollie Katzen on food, women and aging

Posted by on Feb 8, 2010 in diet, menopause | 14 comments

Just about anyone who’s interested in cooking and whose formative years took place in the late 60s and 70s knows these names:  Moosewood Cookbook and The Enchanted Broccoli Forest by Mollie Katzen. Personally, both of these volumes occupied prominent places on my bookshelves for years. That is, until worn from overuse and stained with food and memories, I reluctantly let them go.

So, what do cooking and midlife and menopause have to do with each other? And what type of insights can chef and author Mollie Katzen lend to the conversation?

I originally approached Mollie in search of nutrition advice for women going through midlife and menopause. Although I realize that she isn’t a dietician or a nutritionist, as someone who’s immersed herself in food for decades, she seemed quite capable  to lend a perspective. But as our conversation took hold and we found our rhythm, I realized that the focus had shifted: what I ended up with was a mini-instruction manual, not only for eating healthy but also for forming and maintaining positive relationships with food and with ourselves.

A champion of “keep it healthy,” Mollie entered the scene when cookbooks were largely geared towards the typical American meat and potato diet.  When the Moosewood Cookbook first hit the shelves, “there was barely even a cookbook section in the bookstore, let alone, a ‘healthy eating’ or  ‘vegetarian’ section,” explains Mollie.  Yet, she is not what many of us classify as “vegetarian,” and  although she  primarily skews the dinner plate towards greens and veggies, she consistently includes small amounts of animal protein.  “My diet in my 30s and 40s could have been classified as practically vegan,” she says, “even if I wasn’t orthodox about it.” (At that time, she was also keen on a low-fat diet, which, coupled with the lack of ample amounts of protein, spelled trouble.) “It was almost ‘remorse cuisine;’ I’d eat this way and by mid-afternoon I’d almost be fainting, depleted, irritable. I had no focus. I found that I wasn’t functioning and would wonder what was wrong with me because I thought I was eating the purest diet on the planet. I felt like I was falling apart.”

If you are familiar with the earlier editions of Mollie’s books, they concentrate heavily on whole grains and legumes. However, age has paved a path for a significant alteration in what she eats.  Emphasizing that the amount of bulgar and beans she’d have to eat to obtain the amount of protein that she needs for her blood sugar to stay stable could easily translate into an extra 50 pounds, Mollie says that she has changed her diet to include grass-fed animal protein and raw milk cheese, milk and butter.

What about aging and diet? “I think that women get really frustrated,” she says, pointing out that as we age, even if we change nothing about our lifestyles, e.g., if our lifestyle is reasonable, we are of fairly normal weight, exercise moderately and eat pretty well, we still gain weight. “Our bodies become an inefficient machine and our metabolisms slow,” she says, adding that one of the most consistent things she’s observed amongst her friends is the “oh my god, what happened to my body” moment. The ‘I’m minding my business, doing the same things I’ve always done and all of a sudden, I’ve got this spare tire, I’ve got the fat” epiphany. Sound familiar?!

Although challenging, the answer to this common dilemma is fairly intuitive. And while we’d love to fool ourselves into believing that declining hormones are the primary culprits, they aren’t. Rather a decline in physical activity and lack of dietary restraint are the key players.  Mollie agrees that while women can’t do a whole lot about the fat redistribution, the “one thing [they] need in order to keep the [weight gain] at bay is to keep muscles toned as possible with resistance exercise and also, eat less.” New flash! This actually works; Mollie reports that she currently weighs the same as she did in her 20’s!

Of course, what works for one woman might not be exactly what works for another. We all need to forge our dietary paths and strategies that work for both our individual metabolism and our bodies.

“Health is trial and error,” Mollie explains. “So much of it shows up in how you feel a few hours later. For example, do you feel sleepy after you’ve eaten? Do you feel sluggish or irritable later in the day? Do you have trouble sleeping at night? For me, these were all symptoms of what was going on when I was eating almost no fat or protein.” Much in line with health and nutrition experts, Molllie’s strategy has been to reduce her daily caloric intake while at the same time increasing the percent of calories in her diet that are fat. “I get a good 30% of my calories from nuts, olive oil, avocado and fatty fish.” And when she snacks, its the good fats that she reaches for: “avocados and nuts, especially walnuts. When I am hungry, I have a handful of almonds. I just think that for people as they get older, they should lose the pretzels and eat almonds or guacamole or something with good fat in it.”

We also need to slow down. Bet you’ve heard that before! Mollie says that the most radical transformation we can make with food isn’t so much changing what we eat but how we eat it. Her advice? “Don’t even pick up the fork for the first minute that the food is served. Breathe deeply, look at it, admire it, thank the cook, be grateful. Then pick up your fork, take a few bites and put your fork down. Swallow your food. Women simply don’t have the metabolic ability to do a good job with all that food.”

Food heals. As women, our love-hate relationship with food is complex. We not only use food as fuel, but also to feed our emotions. Or on the flipside, we deprive ourselves in ways that are counterintuitive and sometimes, downright unhealthy.

“This sounds so obvious,” says Mollie, “but I really want people to turn towards cooking and not away from it. To me, the more hands-on and proactive we are about food and cooking, the more we heal whatever issues or concepts we have around food. I’ve actually seen people healing their relationship with food by diving into it.” Make food one of your favorite hobbies. She suggests that rather instead of shunning away from the grocery store run, step back and make it a trip to pick up something beautiful to be celebrated. “Diving into a more positive, deliberate relationship with food gives you something nice to do,” she adds.

What are the take-away messages?

  • Tailor it uniquely: keep it healthy.. for you.
  • Move towards healthier choices and use food in a healing, more positive manner.
  • Embrace yourself with beautiful food, whether it’s a perfect tomato from the Farmer’s Market or some kick-ass, green-as-grass guacamole.
  • Take it slow, and breathe.

Wise words, from a wise woman who knows her way around a kitchen or two.

p.s. Mollie has shared two of her favorite recipes. Check them out, try them out and please, comment and show some love!


About Mollie:

Mollie Katzen, with over 6 million books in print, is listed by the New York Times as one of the best-selling cookbook authors of all time. A 2007 inductee into the prestigious James Beard Cookbook Hall of Fame, and largely credited with moving healthful vegetarian food from the “fringe” to the center of the American dinner plate, Ms. Katzen has been named by Health Magazine as one of “The Five Women Who Changed the Way We Eat.”

In addition she is a charter member of the Harvard School of Public Health Nutrition Roundtable and an inaugural honoree of the Natural Health Hall of Fame. An award-winning illustrator and designer as well as best-selling cookbook author and popular public speaker, Mollie Katzen is best known as the creator of the groundbreaking classics Moosewood Cookbook, and The Enchanted Broccoli Forest. Her other books include the award-winning children’s cookbook trilogy, Pretend Soup,Honest Pretzels, and Salad People; Vegetable Heaven (winner of the International Cookbook Reveu Best in Category award); Sunlight Café; Eat, Drink, & Weigh Less (with Walter Willett, MD of Harvard), and the best-selling The Vegetable Dishes I Can’t Live Without.

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A doc and a diva walk up to the rooftop

Posted by on Jan 25, 2010 in bioidentical hormones, estrogen, menopause | 4 comments

 

Taking the mystery out of menopause, one rooftop conversation at a time. Drifters optional.

Yup ladies, the Nation’s own ‘Red Hot Mama’s”, THE source for everything menopause, has teamed up with Novagyne Pharmaceuticals to promote VIVELLE-Dot®, a hormone replacement topical patch. Perched up on the roof, the doc and diva discuss the changes of menopause, hot flashes and more. The conversation is lively and takes the “pause” out of menopause, so much so that makes you wonder what the heck you’re doing up on a roof with these two ladies.

Better yet, why are they up on a roof?!

Let’s talk about Vivelle for just a minute.

VIVELLE-Dot is a patch that is applied to the skin. It delivers a constant dose of a form of a natural (as opposed to synthetic) estrogen called estradiol, which enters the body through a very small skin patch. VIVELLE-Dot is applied twice weekly.

Granted, transdermal, or ‘through-the-skin’ delivery of medications is generally associated with fewer side effects than oral medications since the drug bypasses the liver and directly enters the blood stream. Still, although estradiol is a bioidentical hormone, with the same molecular structure as estrogen found naturally in the body, potentially seriously risks associated with taking estrogen, endogenous or not, include:

  • a 2- to 12-fold risk of developing endometrial cancer, depending on length of time taken and dose
  • breast cancer
  • dementia
  • a 2- to 4-fold increased risk for gallbladder disease
  • increased risk of heart attack, stroke and blood clots

Note that using bioidentical hormones is not the same as using bioidentical hormone replacement that is customized to your needs. This is an important distinction to keep in mind the next time that you see the phrase.

Here’s my question: still hanging on the roof with the doc and the diva? Or do you want to drift away?

Menopause isn’t something to “fix,” it’s something to address with safe, effective strategies that don’t turn women into long-term guinea pigs.  Do you want to be a Red Hot Mama? Or do you want give the Mama’s a run for their money?

This ain’t your mama’s menopause, it’s yours.’

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Baby got back

Posted by on Jan 18, 2010 in health, general, heart disease, menopause | 0 comments

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Maybe Sir Mix-a-Lot has a point. It seems that a large derriere and thighs may actually extend your life. The reason? Researchers say that fat particles that end up in these areas help trap harmful fatty acids in our diet.

Although they are unsure of the exact reasons why, researchers do say that unlike abdominal fat, which has been linked to metabolic syndrome, lower body fat, i.e., fat that accumulates in the thighs and backside, has actually been confirmed to play a protective role in the body. In fact, it not only stores unhealthy fatty acids, but may also release harmful compounds more slowly than say, abdominal fat.

So if you’ve got back, are you in the clear to eat whatever you want? Not so fast. Even though “back” may offer a protective role, there are other reasons to eat and stay healthy – not only to maintain optimal cholesterol levels, but also to counteract some of the natural effects of declining estrogen, such as weakening bones.

(The study appeared in the January 12 online edition of the International Journal of Obesity.)

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Battle of the middle-aged bulge: pick your poison

Posted by on Nov 27, 2009 in memory/learning, menopause, weight | 4 comments

That age old battle of the bulge just got more challenging.. Researchers are saying that middle-aged women who store fat around their mid section are twice as likely as their peers to develop dementia in old age. Yikes! More reason than ever to lose that belly fat, right?

Starting in 1960, researchers looked healthy and lifestyle risk factors in 1,462 women and then at various intervals for 32 years. They found that women who were broader around the waist than the hips by the time they reached middle-aged more than twice the odds of developing dementia if they lived beyond 70 years. However, a higher body-mass index did not infer a similar risk.

Whether it’s associated with aging, testosterone or declining physical activity, weight gain around the midsection has been linked with the metabolic syndrome, which increases your risk for heart attack and stroke.

So, we’re left with a choice – heart attack, stroke or losing our minds….Or, better yet, move your body. Exercise, start eating healthier and being more mindful of what’s going in and what you are putting out. Granted, we may not be able to fight the inevitable but we can at least try to stave it off or control it as much as possible. The bulge around the middle is the hardest area to attack. But it’s not impossible.

I’d love to get some fitness experts to weigh in on this. Anyone?

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